Healthcare Provider Details

I. General information

NPI: 1326979196
Provider Name (Legal Business Name): CAMACHO APOTHECARY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 ELIZABETH AVE
ELIZABETH NJ
07206-1130
US

IV. Provider business mailing address

509 ELIZABETH AVE
ELIZABETH NJ
07206-1130
US

V. Phone/Fax

Practice location:
  • Phone: 908-355-1784
  • Fax: 908-248-0038
Mailing address:
  • Phone: 908-355-1784
  • Fax: 908-248-0038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. LEONARD GOLDFELD
Title or Position: PRESIDENT
Credential: RPH
Phone: 908-355-1784