Organization
MT PROSPECT PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQSA KHAN (PRESIDENT)
(862) 240-9601
Entity
Organization
Contact information
Practice address
654 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
(862) 240-9601
(862) 240-9603
Mailing address
654 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3110
(862) 240-9601
(862) 240-9603
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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