Organization
HOSPITAL PHARMACY
Active
Other names
HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KETAN THAKKAR (PARTNER)
(973) 279-0707
Entity
Organization
Contact information
Practice address
544 MARKET ST, PATERSON, NJ 07513-1426
(973) 279-0707
(973) 684-4408
Mailing address
544 MARKET ST, PATERSON, NJ 07513-1426
(973) 279-0707
(973) 684-4408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00284800
NJ
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3121869
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4282906
—
NJ
Enumeration date
12/18/2006
Last updated
04/29/2026
Update your record
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