Organization
FITWEL PHARMACY LLC
Active
Other names
MEDICINE TO GO PHARMACIES
Organization subpart
No
Provider details
NPI number
Authorized official
SRIDEVI VAJINEPALLI (PRESIDENT)
(732) 367-5222
Entity
Organization
Contact information
Practice address
1000 ROUTE 70, SUITE 7, LAKEWOOD, NJ 08701-5961
(732) 367-5222
(732) 367-3393
Mailing address
1000 ROUTE 70, SUITE 7, LAKEWOOD, NJ 08701-5961
(732) 367-5222
(732) 367-3393
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00647200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0577251
—
NJ
01
—
2167441
PK
—
Enumeration date
10/31/2006
Last updated
07/19/2018
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