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Organization
MARLBORO VILLAGE PHARMACY INC
Active
Organization
MARLBORO VILLAGE PHARMACY INC
Active
Other names
Marlboro Village Pharmacy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STANSISLAV HISH (PHARMACIST IN CHARGE)
(732) 617-6060
Entity
Organization
Contact information
Practice address
12 SCHOOL RD W, MARLBORO, NJ 07746-1507
(732) 617-6060
(732) 719-2323
Mailing address
12 SCHOOL RD W, MARLBORO, NJ 07746-1507
(732) 617-6060
(732) 719-2323
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00726200
NJ
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406864
—
NJ
01
—
2136249
PK
—
Enumeration date
07/27/2012
Last updated
12/30/2020
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