Healthcare Provider Details

I. General information

NPI: 1790466753
Provider Name (Legal Business Name): RMC RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 S ORANGE AVE
NEWARK NJ
07103-2459
US

IV. Provider business mailing address

236 S ORANGE AVE
NEWARK NJ
07103-2459
US

V. Phone/Fax

Practice location:
  • Phone: 973-732-9762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: ASHRAF LATIF
Title or Position: PRESIDENT
Credential:
Phone: 973-417-6871