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Organization
MODERN RX LIMITED LIABILITY COMPANY
Active
Organization
MODERN RX LIMITED LIABILITY COMPANY
Active
Other names
Modern Medicine Rx
Organization subpart
No
Provider details
NPI number
Authorized official
KLARA REIZIS (OWNER/PHARMACIST/AO)
(917) 217-3908
Entity
Organization
Contact information
Practice address
33-41 NEWARK ST STE 2B, HOBOKEN, NJ 07030-5620
(201) 420-9000
(201) 420-4040
Mailing address
33-41 NEWARK ST STE 2B, HOBOKEN, NJ 07030-5620
(201) 420-9000
(201) 420-4040
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
28RS00733400
NJ
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
06/02/2014
Last updated
04/27/2020
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