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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOURTH AVE PHARMACY LLC

Active Organization

FOURTH AVE PHARMACY LLC is a Long-Term Care Pharmacy organization located in NEWARK, New Jersey. NPI 1225130354 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · NEWARK, NJ

Registration Details

NPI Number
1225130354
Provider Type
Organization
NPI Issued
Sep 1, 2006 (19.933274665768 yrs)
Last Updated
Apr 19, 2017
License
28RS00335200 (NJ)

Practice Information

Address
329 ROSEVILLE AVE
NEWARK, NJ, 071071757
Browse NJ providers · Browse ZIP 07107
Phone
9734833872
Fax
9734836956
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Pharmacy
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in NEWARK, NJ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.