Organization
PHARMTASTIC PHARMACY INC
Active
Other names
Pharmtastic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED DATOO (PHARMACIST IN CHARGE)
(973) 864-7892
Entity
Organization
Contact information
Practice address
831 STATE ROUTE 10, WHIPPANY, NJ 07981-1154
(973) 739-4770
(973) 739-4774
Mailing address
831 ROUTE 10, WHIPPANY, NJ 07981-1154
(973) 739-4770
(973) 739-4774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00732000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144604
PK
—
Enumeration date
03/25/2014
Last updated
06/18/2015
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