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Organization
MEDILINE CORPORATION
Active
Organization
MEDILINE CORPORATION
Active
Other names
Gloucester City Pharmacy and Discount Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVINDER KOHLI (PRESIDENT)
(856) 456-7600
Entity
Organization
Contact information
Practice address
525 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
(856) 456-7600
Mailing address
525 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
(856) 456-7600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00698500
NJ
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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