Organization
TEXAS ROAD OLD BRIDGE LLC
Active
Other names
TEXAS ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMR HILLAL (OWNER)
(732) 723-1101
Entity
Organization
Contact information
Practice address
1183 ENGLISHTOWN RD, OLD BRIDGE, NJ 08857-1319
(732) 723-1101
(732) 723-1141
Mailing address
1183 ENGLISHTOWN RD, OLD BRIDGE, NJ 08857-1319
(732) 723-1101
(732) 723-1141
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00674300
NJ
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162329
—
NJ
01
—
2056179
PK
—
Enumeration date
10/05/2007
Last updated
11/03/2023
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