Organization
PROSPECT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASER M. OBEIDALLAH RPH (PHARMACIT IN CHARGE)
(973) 389-1311
Entity
Organization
Contact information
Practice address
214 HALEDON AVE, PROSPECT PARK, NJ 07508-2024
(973) 389-1311
(973) 389-2315
Mailing address
214 HALEDON AVE, PROSPECT PARK, NJ 07508-2024
(973) 389-1311
(973) 389-2315
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00616500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144792
NABP#
NJ
05
—
8956405
—
NJ
Enumeration date
08/08/2006
Last updated
02/14/2008
Update your record
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