OrganizationSlc Pharmacy Inc(<Unavail>)PharmacySuppliersPractice Address570 Newark Avenue, Jersey City, NJ 07306(201) 653-4093PECOS EnrollmentBased on the most recent information from CMS, provider Slc Pharmacy Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770685794Provider TypeOrganizationFull NameSlc Pharmacy IncOther Name<Unavail>SubpartNoEnumeration Date9/1/2006Last Updated6/3/2023Contact InformationPractice LocationPractice Address570 Newark Avenue, Jersey City, NJ 07306Phone(201) 653-4093Fax(201) 222-1901Mailing LocationMailing Address570 Newark Avenue, Jersey City, NJ 07306Phone(201) 653-4093Fax(201) 222-1901Authorized OfficialNameGerges, Mario (Pharmacist In Charge Owner)Phone(201) 653-4093Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00672800New JerseyProvider IdentifiersIDDescriptionIssuerID3101691DescriptionOtherIssuerNABPID0894885DescriptionMedicaidIssuerUnlistedNew Jersey