# WEDGEWOOD PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932231537
- **Authorized official:** ALEJANDRO BERNAL-ANGEL (CHIEF EXECUTIVE OFFICER, SECRETARY)
- **Authorized official phone:** (973) 307-7154

## Contact information

- **Practice address:** 405 HERON DRIVE, SUITE 200, SWEDESBORO, NJ 08085
- **Practice address phone:** (800) 331-8272
- **Practice address fax:** (856) 491-4365
- **Mailing address:** 405 HERON DRIVE, SUITE 200, SWEDESBORO, NJ 08085
- **Mailing address phone:** (800) 331-8272
- **Mailing address fax:** (856) 491-4365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00316800 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | 28RS00316800 | NJ | — |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 05/27/2025