Organization
LHV PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAWALE OKE (PIC)
(609) 348-1600
Entity
Organization
Contact information
Practice address
2307 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-6618
(609) 348-1600
(609) 348-1633
Mailing address
6 RANDOLPH LN, SICKLERVILLE, NJ 08081-4457
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
RS00674700
NJ
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3194761
OTHER ID NUMBER
—
Enumeration date
10/24/2007
Last updated
10/24/2007
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