Organization
DR. MUSTAFA FARAJ, LLC
Active
Other names
LAKEVIEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA FARAJ B.S., PHARM.D. (PHARMACIST-IN-CHARGE / OWNER)
(973) 510-0250
Entity
Organization
Contact information
Practice address
244 LAKEVIEW AVE, CLIFTON, NJ 07011-4051
(973) 510-0250
(973) 510-0251
Mailing address
244 LAKEVIEW AVE, CLIFTON, NJ 07011-4051
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
07/08/2016
Last updated
12/15/2018
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