# IRON BRIDGE APOTHECARY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IRON BRIDGE APOTHECARY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750070645
- **Authorized official:** DR. MITESH RAJENDRA PATEL PHARMD. (PHARMACIST IN CHARGE)
- **Authorized official phone:** (732) 252-6455

## Contact information

- **Practice address:** 515 IRON BRIDGE RD, SUITE \#1, FREEHOLD, NJ 07728
- **Practice address phone:** (732) 252-6455
- **Practice address fax:** (848) 444-9497
- **Mailing address:** 515 IRON BRIDGE RD, SUITE \#1, FREEHOLD, NJ 07728
- **Mailing address phone:** (732) 252-6455
- **Mailing address fax:** (848) 444-9497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 05/05/2023