Organization
MCDERMOTT DRUG CORP
Active
Other names
MCDERMOTT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT DATWANI (PRESIDENT)
(973) 790-8486
Entity
Organization
Contact information
Practice address
433 UNION AVE, PATERSON, NJ 07502-1917
(973) 790-8486
(973) 790-3315
Mailing address
433 UNION AVE, PATERSON, NJ 07502-1917
(973) 790-8486
(973) 790-3315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00627000
NJ
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016233
—
NJ
01
—
2058221
PK
—
Enumeration date
06/13/2006
Last updated
04/29/2026
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