Organization
MLK PHARMACY
Active
Other names
MLK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL BARI (OWNER)
(201) 332-7032
Entity
Organization
Contact information
Practice address
173 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07305-3310
(201) 332-7032
(201) 333-0348
Mailing address
173 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07305-3310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00641000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042366
—
NJ
01
—
3128659
OTHER ID NUMBER
—
Enumeration date
12/20/2006
Last updated
09/13/2007
Update your record
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