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Organization
EJ AND JJ INC
Active
Organization
EJ AND JJ INC
Active
Other names
THE MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JISUK JUNG R.PH. (PHARMACIST PRESIDENT)
(201) 944-1002
Entity
Organization
Contact information
Practice address
2468 LEMOINE AVE, FORT LEE, NJ 07024-6206
(201) 944-1002
(201) 944-6336
Mailing address
2468 LEMOINE AVE, FORT LEE, NJ 07024-6206
(201) 944-1002
(201) 944-6336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00534000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45PD00000700
ORTHOTICS & PROSTHETICS( PEDORTHIST)
NJ
05
—
6996906
—
NJ
05
—
6996914
—
NJ
Enumeration date
06/03/2006
Last updated
12/29/2014
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