Organization
PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC
Active
Parent organization
PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC
Other names
VivaMed Pharmacy & Medical Supplies
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC
Authorized official
DR. LOBNA OMAR (PHARMACIST IN CHARGE)
(347) 259-0115
Entity
Organization
Contact information
Practice address
156 PASSAIC ST, PASSAIC, NJ 07055-7392
(908) 382-0158
(908) 382-0156
Mailing address
156 PASSAIC ST, PASSAIC, NJ 07055-7392
(908) 382-0158
(908) 382-0156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
07/02/2026
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