# SMASH MEDICINE L L C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** King Boulevard Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467470484
- **Authorized official:** SARFARAZ AHMED RPH/BS (RPH)
- **Authorized official phone:** (609) 234-0567

## Contact information

- **Practice address:** 836 ML KING BLVD, TRENTON, NJ 08638
- **Practice address phone:** (609) 396-6288
- **Practice address fax:** (609) 396-6233
- **Mailing address:** 836 ML KING BLVD, TRENTON, NJ 08638
- **Mailing address phone:** (609) 396-6288
- **Mailing address fax:** (609) 396-6233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00706400 | NJ | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 04/19/2011
