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Organization
MEDICAL MALL RX INC
Active
Organization
MEDICAL MALL RX INC
Active
Other names
Medical Mall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PARTHIV SHAH (OWNER)
(732) 244-4747
Entity
Organization
Contact information
Practice address
9 HOSPITAL DR STE B3, TOMS RIVER, NJ 08755-6425
(732) 244-4747
(732) 244-4873
Mailing address
9 HOSPITAL DR STE B3, TOMS RIVER, NJ 08755-6425
(732) 244-4747
(732) 244-4873
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00191200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482595
—
NJ
01
—
2148314
PK
—
Enumeration date
08/10/2006
Last updated
10/03/2016
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