# MODERN RX LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Medicine Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669902102
- **Authorized official:** KLARA REIZIS (OWNER)
- **Authorized official phone:** (201) 420-9000

## Contact information

- **Practice address:** 56 CHAMBERS BRIDGE RD STE 8, BRICK, NJ 08723-4148
- **Practice address phone:** (732) 475-7593
- **Practice address fax:** (732) 903-7402
- **Mailing address:** 56 CHAMBERSBRIDGE ROAD SUITE 8, BRICK, NJ 08723
- **Mailing address phone:** (732) 475-7593
- **Mailing address fax:** (732) 903-7402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00756700 | NJ | Yes |

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 06/18/2017