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Organization
LONG TERM CARE RX LLC
Active
Organization
LONG TERM CARE RX LLC
Active
Other names
LONG TERM CARE RX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CRIMMINS (OWNER PHCST)
(888) 858-6175
Entity
Organization
Contact information
Practice address
149 3RD AVE, WESTWOOD, NJ 07675-2142
(888) 858-6175
(888) 858-6176
Mailing address
149 3RD AVE, WESTWOOD, NJ 07675-2142
(888) 858-6175
(888) 858-6176
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00598700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3106057
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
8528403
—
NJ
Enumeration date
12/13/2006
Last updated
09/30/2010
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