Organization
DELUXE RX PHARMACY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIL FAROOQUI (PHARMACIST IN CHARGE)
(908) 344-6478
Entity
Organization
Contact information
Practice address
702 JACKSON AVE, ELIZABETH, NJ 07201-1619
(908) 344-6478
Mailing address
702 JACKSON AVE, ELIZABETH, NJ 07201-1619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00741200
NJ
333600000X
Pharmacy
28RS00741200
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00741200
NJ
335E00000X
Prosthetic/Orthotic Supplier
28RS00741200
NJ
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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