Organization
BERLIN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THELMA UCHENNA ODOEMENE PHARMACIST (OWNER)
(856) 776-3128
Entity
Organization
Contact information
Practice address
360 S WHITE HORSE PIKE, UNIT C, BERLIN, NJ 08009-1974
(856) 336-2855
Mailing address
360 S WHITE HORSE PIKE, UNIT C, BERLIN, NJ 08009-1974
(856) 336-2855
(856) 809-6667
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00736200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0605417
—
NJ
Enumeration date
03/13/2014
Last updated
05/13/2022
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