Organization
HACKENSACK UNIVERSITY MEDICAL CENTER
Active
Other names
HACKENSACK UNIVERSITY MEDICAL CENTER PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LUPANO RP (CONSULTANT/DIRECTOR)
(551) 996-4092
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE, STE 102, HACKENSACK, NJ 07601-1997
(551) 996-8744
(551) 996-8757
Mailing address
20 PROSPECT AVE, STE 102, HACKENSACK, NJ 07601-1997
(551) 996-8744
(551) 996-8757
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00645600
NJ
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071960
—
NJ
01
—
2055528
PK
—
Enumeration date
10/12/2006
Last updated
03/06/2017
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