# RANCH HEALTH EDISON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 123 Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093575458
- **Authorized official:** CECILIA WONG PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (908) 858-3672

## Contact information

- **Practice address:** 561 US HIGHWAY 1 UNIT 101, EDISON, NJ 08817-4400
- **Practice address phone:** (908) 858-3672
- **Mailing address:** 561 US HIGHWAY 1 UNIT 101, EDISON, NJ 08817-4400
- **Mailing address phone:** (908) 858-3672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2024
- **Last updated:** 03/21/2024