# STAFFORD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STAFFORD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306943238
- **Authorized official:** THOMAS GENCO RPH (PHARMACIST MANAGER)
- **Authorized official phone:** (609) 597-9625

## Contact information

- **Practice address:** 24 NAUTILUS DR, UNIT 1, MANAHAWKIN, NJ 08050-2490
- **Practice address phone:** (609) 597-9625
- **Practice address fax:** (609) 597-0047
- **Mailing address:** 24 NAUTILUS DR, UNIT 1, MANAHAWKIN, NJ 08050-2490
- **Mailing address phone:** (609) 597-9625
- **Mailing address fax:** (609) 597-0047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00482100 | NJ | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/07/2017