Organization
CLIFTON PHARMACY RX LLC
Active
Other names
Clifton Pharmacy Rx
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN TANVIR (OWNER/PRESIDENT/AO)
(862) 225-9726
Entity
Organization
Contact information
Practice address
261 CLIFTON AVE, CLIFTON, NJ 07011-1842
(862) 225-9726
(862) 225-9728
Mailing address
261 CLIFTON AVE, CLIFTON, NJ 07011-1842
(862) 225-9726
(862) 225-9728
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00761200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175884
PK
—
Enumeration date
02/02/2018
Last updated
04/25/2022
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