Organization
PHA4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAL AMIN (OWNER)
(201) 333-6969
Entity
Organization
Contact information
Practice address
103 SUMMIT AVE STE A, JERSEY CITY, NJ 07304-3021
(201) 333-6968
Mailing address
103 SUMMIT AVE STE A, JERSEY CITY, NJ 07304-3021
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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