Organization
ALEXANDRIA PHARMACY LLC
Active
Other names
Alexandria Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MOSSAD (OWNER)
(908) 469-9653
Entity
Organization
Contact information
Practice address
327 N BROAD ST, ELIZABETH, NJ 07208-3704
(908) 469-9653
(908) 469-9655
Mailing address
327 N BROAD ST, ELIZABETH, NJ 07208-3704
(908) 469-9653
(908) 469-9655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00759800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0604798
—
NJ
01
—
2175483
PK
—
Enumeration date
01/10/2018
Last updated
07/19/2018
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