# EMES PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EMES PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902948623
- **Authorized official:** SHAMINDRA DHANAWTAWA DHANAWTAWARI PHARMACY TECH (MEMBER)
- **Authorized official phone:** (732) 942-1212

## Contact information

- **Practice address:** 258 CEDAR BRIDGE AVE., LAKEWOOD, NJ 08701
- **Practice address phone:** (732) 942-1212
- **Practice address fax:** (732) 942-1224
- **Mailing address:** 258 CEDAR BRIDGE AVE., LAKEWOOD, NJ 08701
- **Mailing address phone:** (732) 942-1212
- **Mailing address fax:** (732) 942-1224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00666700 | NJ | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 12/04/2019