Organization
NEW LUCY'S PHARMACY INC
Active
Other names
same
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR M AWAD (PRESIDENT)
(973) 778-4495
Entity
Organization
Contact information
Practice address
286 288 MONROE STREET, PASSAIC, NJ 07055
(973) 778-4495
(973) 778-8843
Mailing address
286-288 MONROE ST UNIT B, PASSAIC, NJ 07055-5271
(973) 778-4495
(973) 778-8843
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00681100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231916
—
NJ
05
—
0536920
—
NJ
Enumeration date
02/01/2007
Last updated
04/07/2017
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