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Organization
JACKSON VILLAGE PHARMACY LLC
Active
Organization
JACKSON VILLAGE PHARMACY LLC
Active
Other names
Hackensack Meridian Village Pharmacy, Meridian Village Pharmacy at Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL OUELLETTE PHARMACIST (MANAGER / OWNER)
(860) 367-3387
Entity
Organization
Contact information
Practice address
27 S COOKS BRIDGE RD STE 1-1, JACKSON, NJ 08527-2460
(732) 994-7387
Mailing address
27 S COOKS BRIDGE RD STE M1, JACKSON, NJ 08527-2443
(732) 994-7387
(732) 994-7389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NJ
3336L0003X
Long Term Care Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
09/25/2014
Last updated
02/12/2026
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