Organization
JNJ PHARMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SMITHA DASARI (PRESIDENT)
(908) 577-6989
Entity
Organization
Contact information
Practice address
254 BELLEVUE AVE, HAMMONTON, NJ 08037-1769
(609) 561-0825
Mailing address
254 BELLEVUE AVE, HAMMONTON, NJ 08037-1769
(609) 561-0825
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0519677
—
NJ
Enumeration date
02/09/2023
Last updated
02/09/2023
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