Organization
COMMUNITY CARE RX NJ INC
Active
Other names
Community Care Rx NJ
Organization subpart
No
Provider details
NPI number
Authorized official
HOSSAM A MAKSOUD (CEO)
(973) 837-8044
Entity
Organization
Contact information
Practice address
225 ROUTE 46 WEST, SUITE #4, TOTOWA, NJ 07512-1839
(973) 837-8044
(973) 837-8043
Mailing address
225 ROUTE 46 WEST, SUITE #4, TOTOWA, NJ 07512-1839
(973) 837-8044
(973) 837-8043
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
28RS00730500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144005
PK
—
Enumeration date
01/23/2014
Last updated
09/06/2023
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