Organization
TERRYS FAMILY PHARMACY INC
Active
Other names
TERRYS FAMILY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LES GWYN-WILLIAMS (PRESIDENT)
(973) 239-2200
Entity
Organization
Contact information
Practice address
560 BLOOMFIELD AVE, VERONA, NJ 07044-1817
(973) 239-2200
(973) 239-1857
Mailing address
560 BLOOMFIELD AVE, VERONA, NJ 07044-1817
(973) 239-2200
(973) 239-1857
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00351000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054479
PK
—
05
—
4354109
—
NJ
Enumeration date
10/03/2006
Last updated
02/28/2017
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