# LARCHMONT PHARMACY LTC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LARCHMONT PHARMACY, LLC
- **Other names:** Larchmont Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437665999
- **Legal business name:** LARCHMONT PHARMACY, LLC
- **Authorized official:** MR. VU HUYNH (OWNER)
- **Authorized official phone:** (856) 235-8888

## Contact information

- **Practice address:** 200 LARCHMONT BLVD STE 5, MOUNT LAUREL, NJ 08054-3379
- **Practice address phone:** (856) 235-8888
- **Practice address fax:** (856) 235-8881
- **Mailing address:** 200 LARCHMONT BLVD STE 5, MOUNT LAUREL, NJ 08054-3379
- **Mailing address phone:** (856) 235-8888
- **Mailing address fax:** (856) 235-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 28RS00745900 | NJ | Yes |

## Other

- **Enumeration date:** 12/20/2017
- **Last updated:** 12/20/2017
