Healthcare Provider Details

I. General information

NPI: 1427479344
Provider Name (Legal Business Name): GOLDEN CARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2013
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 PALISADE AVE
GARFIELD NJ
07026-2967
US

IV. Provider business mailing address

242 PALISADE AVE
GARFIELD NJ
07026-2967
US

V. Phone/Fax

Practice location:
  • Phone: 877-469-4334
  • Fax: 973-772-0541
Mailing address:
  • Phone: 877-469-4334
  • Fax: 973-772-0541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00729200
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AYSHA KHAN
Title or Position: OWNER
Credential:
Phone: 914-906-4004