# MEDICINE SHOPPE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225046501
- **Authorized official:** BRIAN CONERTY RPH (OWNER PHARMACIST)
- **Authorized official phone:** (732) 367-5080

## Contact information

- **Practice address:** 681 RIVER AVE, LAKEWOOD, NJ 08701-5229
- **Practice address phone:** (732) 367-5080
- **Practice address fax:** (732) 367-5734
- **Mailing address:** 681 RIVER AVE, LAKEWOOD, NJ 08701-5229
- **Mailing address phone:** (732) 367-5080
- **Mailing address fax:** (732) 367-5734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RS00614000 | NJ | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 03/07/2023