Organization
QUICK MART PHARMACY & CONVENIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALOK PATEL PHARMACIST (MEMBER-LLC)
(732) 745-7222
Entity
Organization
Contact information
Practice address
100 RYDERS LN STE 5, MILLTOWN, NJ 08850-1263
(732) 745-7222
(732) 545-4402
Mailing address
100 RYDERS LN STE 5, MILLTOWN, NJ 08850-1263
(732) 745-7222
(732) 545-4402
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437395
—
NJ
Enumeration date
07/16/2019
Last updated
07/16/2019
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