Organization
H & A LLC
Active
Other names
Park Avenue Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED M HUSSAINI MBA (MANAGING AGENT)
(201) 552-9500
Entity
Organization
Contact information
Practice address
3712 PARK AVE, WEEHAWKEN, NJ 07086-6033
(201) 552-9500
(201) 552-9501
Mailing address
3712 PARK AVE, WEEHAWKEN, NJ 07086-6033
(201) 552-9500
(201) 552-9501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00724100
NJ
3336C0004X
Compounding Pharmacy
28RS00724100
NJ
3336S0011X
Specialty Pharmacy
28RS00724100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0367133
—
NJ
Enumeration date
01/23/2013
Last updated
01/25/2023
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