Organization
TESH
Active
Other names
Clinton Pharmacy & Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED EHAB SOLAMAN PHARMD, RPH (PHARMACIST)
(973) 375-6003
Entity
Organization
Contact information
Practice address
784 CLINTON AVE, NEWARK, NJ 07108-1045
(973) 375-6003
(973) 375-4861
Mailing address
784 CLINTON AVE, NEWARK, NJ 07108-1045
(973) 375-6003
(973) 375-4861
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS006810
NJ
3336C0003X
Community/Retail Pharmacy
Primary
RS006810
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189219
—
NJ
Enumeration date
02/01/2007
Last updated
02/25/2016
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