Organization
SAWP LLC
Active
Other names
MEDICOS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SYED M HUSSAINI MBA (MANAGING MEMBER)
(201) 552-9500
Entity
Organization
Contact information
Practice address
260 BROADWAY, ELMWOOD PARK, NJ 07407-3522
(973) 324-1000
(973) 324-2121
Mailing address
260 BROADWAY, ELMWOOD PARK, NJ 07407-3522
(973) 324-1000
(973) 324-2121
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00765900
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0648167
—
NJ
Enumeration date
07/25/2018
Last updated
12/29/2022
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