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Organization
PCA-LTC PHARMACY
Active
Organization
PCA-LTC PHARMACY
Active
Other names
pca-ltc pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SEKULSKI (PRESIDENT)
(973) 453-4666
Entity
Organization
Contact information
Practice address
66 FORD RD STE 220, DENVILLE, NJ 07834-1300
(973) 453-4666
(973) 983-5684
Mailing address
66 FORD RD, SUITE 220, DENVILLE, NJ 07834-1379
(973) 453-4666
(973) 983-5684
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00718400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3198694
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/20/2012
Last updated
05/11/2012
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