Provider Demographics
NPI:1447058474
Name:ADAMS PHARMACY LLC
Entity type:Organization
Organization Name:ADAMS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELAZIM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:973-939-1696
Mailing Address - Street 1:1745 RTE 10 E UNIT 9
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2655
Mailing Address - Country:US
Mailing Address - Phone:973-939-1696
Mailing Address - Fax:973-939-6303
Practice Address - Street 1:1745 RTE 10 E UNIT 9
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2655
Practice Address - Country:US
Practice Address - Phone:973-939-1696
Practice Address - Fax:973-939-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy