Provider Demographics
NPI:1407430911
Name:LITTLE FALLS RX LLC
Entity Type:Organization
Organization Name:LITTLE FALLS RX LLC
Other - Org Name:ELIXIRX APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULKADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-655-9341
Mailing Address - Street 1:75 NEWARK POMPTON TPKE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1107
Mailing Address - Country:US
Mailing Address - Phone:973-638-1561
Mailing Address - Fax:973-638-1566
Practice Address - Street 1:75 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1107
Practice Address - Country:US
Practice Address - Phone:973-638-1561
Practice Address - Fax:973-638-1566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy