Organization
THE VALLEY HOSPITAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND HAWASH PHARMD (PHARMACIST IN CHARGE)
(201) 447-8434
Entity
Organization
Contact information
Practice address
1400 MACARTHUR BLVD, MAHWAH, NJ 07430-3618
(201) 316-8444
Mailing address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8434
(201) 389-0818
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00766000
BOARD OF PHARMACY LICENSE
NJ
Enumeration date
08/15/2018
Last updated
01/19/2021
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