# FITWEL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE TO GO PHARMACIES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033296900
- **Authorized official:** SRIDEVI VAJINEPALLI (PRESIDENT)
- **Authorized official phone:** (732) 367-5222

## Contact information

- **Practice address:** 1000 ROUTE 70, SUITE 7, LAKEWOOD, NJ 08701-5961
- **Practice address phone:** (732) 367-5222
- **Practice address fax:** (732) 367-3393
- **Mailing address:** 1000 ROUTE 70, SUITE 7, LAKEWOOD, NJ 08701-5961
- **Mailing address phone:** (732) 367-5222
- **Mailing address fax:** (732) 367-3393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00647200 | NJ | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 07/19/2018
