# RYLA COMMUNITY PHARMACY

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

## Provider details

- **NPI number:** 1164828802
- **Authorized official:** BUSHRA BOFAHREDIN (PHARMACIST IN CHARGE)
- **Authorized official phone:** (856) 313-7681

## Contact information

- **Practice address:** 4301 MAPLE AVE UNIT A, PENNSAUKEN, NJ 08109-1818
- **Practice address phone:** (856) 320-2609
- **Practice address fax:** (856) 320-2716
- **Mailing address:** 4301 MAPLE AVE UNIT A, PENNSAUKEN, NJ 08109-1818
- **Mailing address phone:** (856) 320-2609
- **Mailing address fax:** (856) 320-2716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00736300 | NJ | Yes |

## Other

- **Enumeration date:** 11/07/2014
- **Last updated:** 05/27/2015