Organization
MT PROSPECT PHARMACY CORP
Active
Other names
Mt Prospect Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AQSA KHAN (OWNER)
(862) 240-9601
Entity
Organization
Contact information
Practice address
654 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
(862) 240-9601
Mailing address
654 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
07/14/2025
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