OrganizationMina Pharmacy Corp(<Unavail>)PharmacySuppliersPractice Address875 Bergen Ave, Jersey City, NJ 07306-4405(201) 792-9881PECOS EnrollmentBased on the most recent information from CMS, provider Mina Pharmacy Corp 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 ID1811018377Provider TypeOrganizationFull NameMina Pharmacy CorpOther Name<Unavail>SubpartNoEnumeration Date4/3/2007Last Updated7/10/2014Contact InformationPractice LocationPractice Address875 Bergen Ave, Jersey City, NJ 07306-4405Phone(201) 792-9881Fax(201) 792-9882Mailing LocationMailing Address875 Bergen Ave, Jersey City, NJ 07306-4405Phone(201) 792-9881Fax(201) 792-9882Authorized OfficialNameMakar, Said (Owner And Pharmacist)Phone(201) 792-9881Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00626300New JerseyCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2055241DescriptionOtherIssuerPKID0003310DescriptionMedicaidIssuerUnlistedNew Jersey