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Organization
15W PHARMACY INC
Active
Organization
15W PHARMACY INC
Active
Other names
15W Pharmacy-Newark
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M MCCANN (REIMBURSEMENT DIRECTOR)
(732) 346-1333
Entity
Organization
Contact information
Practice address
65 JAY ST, NEWARK, NJ 07103-3235
(732) 346-1333
(732) 346-9221
Mailing address
95 NEWFIELD AVE, SUITE B, EDISON, NJ 08837-3824
(732) 346-1333
(734) 346-9221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00581200
NJ
333600000X
Pharmacy
28RS00581200
NJ
3336C0003X
Community/Retail Pharmacy
28RS000581200
NJ
3336L0003X
Long Term Care Pharmacy
Primary
28RS00581200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007737970001
—
PA
05
—
8139300
—
NJ
05
—
8139318
—
NJ
Enumeration date
10/13/2006
Last updated
09/11/2025
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