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NPI Code Detail

MEDICARE: ST. PETER'S PHARMACY & DRUGS LLC

MEDICARE: ST. PETER'S PHARMACY & DRUGS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1467275404
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. PETER'S PHARMACY & DRUGS LLC
Provider Business Mailing Address
First Line : 1000 WASHINGTON ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5202
Country : US
Telephone Number : 201-659-8492
Fax Number :
Provider Business Practice Location Address
First Line : 1000 WASHINGTON ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5202
Country : US
Telephone Number : 201-659-8492
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WAEL NABIL ISAAC
Credential :
Telephone Number : 718-210-6113
Provider Enumeration Date : 11/07/2024
Last Update Date : 09/26/2025

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Directions to “ST. PETER'S PHARMACY & DRUGS LLC ” Practice Location

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