Organization
MVP PHARMACY LLC
Active
Other names
Middle Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVEEK MISTRY (PHARMACIST/OWNER)
(973) 478-0600
Entity
Organization
Contact information
Practice address
393 PIAGET AVE, CLIFTON, NJ 07011-3001
(973) 478-0600
(973) 478-0603
Mailing address
393 PIAGET AVE, CLIFTON, NJ 07011-3001
(973) 478-0600
(973) 478-0603
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00290500
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054991
PK
—
05
—
4324005
—
NJ
Enumeration date
09/20/2006
Last updated
06/02/2025
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