# ILUMED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BARON II DRUG & SURGICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881932135
- **Authorized official:** LUIS MEDINA (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (201) 641-1110

## Contact information

- **Practice address:** 91 MOONACHIE RD, MOONACHIE, NJ 07074-1016
- **Practice address phone:** (201) 641-1110
- **Practice address fax:** (201) 641-1113
- **Mailing address:** 91 MOONACHIE RD, MOONACHIE, NJ 07074-1016
- **Mailing address phone:** (201) 641-1110
- **Mailing address fax:** (201) 641-1113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00464300 | NJ | Yes |

## Other

- **Enumeration date:** 01/22/2013
- **Last updated:** 07/15/2013