Organization
PHARMACY TOWN LLC
Active
Other names
PHARMACY TOWN
Organization subpart
No
Provider details
NPI number
Authorized official
DEV TAILOR PHARM D (OWNER/PHARMACY MANAGER)
(732) 493-5100
Entity
Organization
Contact information
Practice address
1590 STATE ROUTE 35, OCEAN, NJ 07712-3521
(732) 493-5100
(732) 493-5103
Mailing address
1590 STATE ROUTE 35, OCEAN, NJ 07712-3521
(732) 493-5100
(732) 493-5103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790242428
NPI
—
Enumeration date
02/21/2023
Last updated
02/21/2023
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