Organization
MA KHODAL INC
Active
Other names
FIRST AID PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH PATEL (PHARMACIST IN CHARGE)
(215) 245-1035
Entity
Organization
Contact information
Practice address
120 PASSAIC ST, HACKENSACK, NJ 07601-4316
(201) 880-7987
(201) 880-7989
Mailing address
120 PASSAIC ST, HACKENSACK, NJ 07601-4316
(201) 880-7987
(201) 880-7989
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00713500
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281883
—
NJ
01
—
3198012
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/18/2011
Last updated
04/03/2012
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