Organization
MAIN RX PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAM LATIF (MEMBER)
(973) 732-7702
Entity
Organization
Contact information
Practice address
594 MAIN AVE, PASSAIC, NJ 07055-4907
(973) 732-7702
(973) 732-3077
Mailing address
594 MAIN AVE, PASSAIC, NJ 07055-4907
(973) 732-7702
(973) 732-3077
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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