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Organization
TEXAS ROAD OLD BRIDGE LLC
Active
Organization
TEXAS ROAD OLD BRIDGE LLC
Active
Other names
TEXAS ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMR HILLAL (OWNER)
(732) 723-1101
Entity
Organization
Contact information
Practice address
1183 ENGLISHTOWN RD, OLD BRIDGE, NJ 08857-1319
(732) 723-1101
(732) 723-1141
Mailing address
1183 ENGLISHTOWN RD, OLD BRIDGE, NJ 08857-1319
(732) 723-1101
(732) 723-1141
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00674300
NJ
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
10/05/2007
Last updated
11/03/2023
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