Organization
HACKENSACK PHARMACY INC
Active
Other names
Hackensack Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMAL BODAWALA (PRESIDENT)
(201) 488-1230
Entity
Organization
Contact information
Practice address
441 PASSAIC ST, HACKENSACK, NJ 07601-1518
(201) 488-1230
(201) 488-6648
Mailing address
441 PASSAIC ST, HACKENSACK, NJ 07601-1518
(201) 488-1230
(201) 488-6648
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00629300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000853
—
NJ
Enumeration date
08/14/2014
Last updated
08/07/2025
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