# MG RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lodi Pharmacy rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518771245
- **Authorized official:** BASSEM GHOBRIAL (AUTHORIZED OFFICIALS)
- **Authorized official phone:** (201) 577-8486

## Contact information

- **Practice address:** 150-170 MAIN ST, SUITE 104, LODI, NJ 07644-1724
- **Practice address phone:** (201) 577-8486
- **Mailing address:** 150 -170 MAIN ST, SUITE 104, LODI, NJ 07644-1724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2025
- **Last updated:** 05/22/2025