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Organization
LEXANN PHARMACY & WELLNESS CENTER
Active
Organization
LEXANN PHARMACY & WELLNESS CENTER
Active
Other names
Lexann Pharmacy & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER OWOLABI (OWNER)
(973) 678-1700
Entity
Organization
Contact information
Practice address
1885 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3419
(973) 763-0010
(973) 763-0009
Mailing address
1885 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3419
(973) 763-0010
(973) 763-0009
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00737500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148686
PK
—
Enumeration date
12/15/2014
Last updated
07/14/2015
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