Organization
MY SPECIALTY RX LLC
Active
Other names
MyPharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAYEZ ENVER (OWNER)
(732) 595-8205
Entity
Organization
Contact information
Practice address
1636 STELTON RD STE 305, PISCATAWAY, NJ 08854-5346
(732) 253-7922
(732) 253-7787
Mailing address
1636 STELTON RD SUITE 305, PISCATAWAY, NJ 08854
(732) 500-8551
(732) 253-7787
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00747000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534544
—
NJ
01
—
7921750001
MEDICARE
NJ
Enumeration date
02/27/2016
Last updated
12/15/2023
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