Organization
HUDACKO'S PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HOST (OWNER)
(201) 436-4488
Entity
Organization
Contact information
Practice address
861 BROADWAY, BAYONNE, NJ 07002-3031
(201) 436-4488
(201) 436-0240
Mailing address
861 BROADWAY, BAYONNE, NJ 07002-3031
(201) 436-4488
(201) 436-0240
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00219000
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00219000
NJ
3336C0004X
Compounding Pharmacy
28RS00219000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033774
—
NJ
05
—
0328243
—
NJ
01
—
3104293
NABP NUMBER
NJ
05
—
4251105
—
NJ
Enumeration date
09/15/2006
Last updated
12/19/2023
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