Organization
JERUSALEM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUNIS RASHEED R.PH. (PHARMACIST IN CHARGE/OWNER)
(210) 410-0002
Entity
Organization
Contact information
Practice address
1414 MAIN AVE, CLIFTON, NJ 07011-2157
(973) 340-6200
(973) 340-6204
Mailing address
1414 MAIN AVE, CLIFTON, NJ 07011-2157
(973) 340-6200
(973) 340-6204
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00670700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156647
—
NJ
Enumeration date
07/20/2007
Last updated
07/31/2008
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