# LAKEWOOD PHARMACY LLC

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

## Provider details

- **NPI number:** 1467465922
- **Authorized official:** MRS. MAYA ITZHAKOV (PRESIDENT)
- **Authorized official phone:** (718) 454-3052

## Contact information

- **Practice address:** 911 E COUNTY LINE RD, LAKEWOOD, NJ 08701-2069
- **Practice address phone:** (732) 942-9987
- **Practice address fax:** (732) 810-0260
- **Mailing address:** 911 E COUNTY LINE RD, LAKEWOOD, NJ 08701-2069
- **Mailing address phone:** (732) 942-9987
- **Mailing address fax:** (732) 810-0260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00605700 | NJ | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 05/10/2010