Organization
COMMUNITY CARE RX NJ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOSSAM ABDEL MAKSOUD PHARMD (OWNER)
(516) 418-8058
Entity
Organization
Contact information
Practice address
225 ROUTE 46 STE 2, TOTOWA, NJ 07512-1814
(973) 837-8044
Mailing address
225 ROUTE 46 STE 2, TOTOWA, NJ 07512-1814
(973) 837-8044
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250692389
—
DE
Enumeration date
06/08/2022
Last updated
06/08/2022
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