Organization
PHOENIX SPECIALTY PHARMACY CORP
Active
Other names
PHOENIX RX
Organization subpart
No
Provider details
NPI number
Authorized official
NATAVAN NASIROV (PRESIDENT)
(201) 453-3114
Entity
Organization
Contact information
Practice address
4100 PARK AVE, WEEHAWKEN, NJ 07086-6196
(201) 453-3114
(877) 811-1227
Mailing address
4100 PARK AVE, WEEHAWKEN, NJ 07086-6132
(201) 453-3114
(877) 811-1227
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
09/11/2025
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