Organization
PHA4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAL AMIN (OWNER)
(201) 333-6968
Entity
Organization
Contact information
Practice address
103 SUMMIT AVE STE A, JERSEY CITY, NJ 07304-3021
(201) 333-6968
Mailing address
103 SUMMIT AVE STE A, JERSEY CITY, NJ 07304-3021
(201) 333-6968
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
04/25/2026
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