# TICETOWN PHARMACY & SURGICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Wellness Center Pharmacy & Surgical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215169768
- **Authorized official:** BHAVINI PATEL PHARM.D. (PRESIDENT)
- **Authorized official phone:** (732) 679-3555

## Contact information

- **Practice address:** 3117 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2690
- **Practice address phone:** (732) 679-3555
- **Practice address fax:** (732) 679-6797
- **Mailing address:** 3117 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2690
- **Mailing address phone:** (732) 679-3555
- **Mailing address fax:** (732) 679-6797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 28RS00700600 | NJ | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 12392 | NC | Yes |
| 3336C0004X | Compounding Pharmacy | 034759 | NY | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 07/19/2018