Organization
PARK AVE DRUGS LLC
Active
Other names
Park Ave Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULMAJEED HOZIEN (PHARMACIST)
(973) 928-8888
Entity
Organization
Contact information
Practice address
107 PARK AVE, PATERSON, NJ 07501-2328
(973) 928-8888
(973) 742-0806
Mailing address
107 PARK AVE, PATERSON, NJ 07501-2328
(305) 928-8888
(973) 742-0806
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00710100
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276014
—
NJ
01
—
2128921
PK
—
Enumeration date
02/14/2011
Last updated
11/04/2020
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