Organization
MEDLIFE PHARMACY INC
Active
Other names
Medlife Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAYEZ ENVER (OWNER)
(732) 595-8205
Entity
Organization
Contact information
Practice address
2000 STATE ROUTE 27, NORTH BRUNSWICK, NJ 08902-1383
(732) 658-3636
(732) 658-3638
Mailing address
2000 STATE ROUTE 27, NORTH BRUNSWICK, NJ 08902-1383
(732) 658-3636
(732) 658-3638
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00718600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134888
PK
—
Enumeration date
05/03/2012
Last updated
05/17/2024
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