# MEDILINE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gloucester City Pharmacy and Discount Store
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952651010
- **Authorized official:** MR. RAVINDER KOHLI (PRESIDENT)
- **Authorized official phone:** (856) 456-7600

## Contact information

- **Practice address:** 525 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
- **Practice address phone:** (856) 456-7600
- **Mailing address:** 525 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
- **Mailing address phone:** (856) 456-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00698500 | NJ | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 09/17/2012