Organization
CLINTON PHARMACY, INC
Active
Other names
Clinton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HAFIZ REHMAN (OWNER)
(908) 735-5316
Entity
Organization
Contact information
Practice address
30 MAIN ST, CLINTON, NJ 08809-1328
(908) 735-5316
(908) 735-7945
Mailing address
30 MAIN ST, CLINTON, NJ 08809-1328
(908) 735-5316
(908) 735-7945
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00447400
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00447400
NJ
335E00000X
Prosthetic/Orthotic Supplier
28RS00447400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208299
—
NJ
Enumeration date
08/31/2006
Last updated
01/03/2024
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