Organization
WELL GREEN LLC
Active
Other names
DESI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRUNAL KARAVADIA RPH (PHARMACIST IN CHARGE)
(856) 309-1212
Entity
Organization
Contact information
Practice address
25 S WHITE HORSE PIKE, STRATFORD, NJ 08084-1520
(856) 309-1212
Mailing address
25 S WHITE HORSE PIKE, STRATFORD, NJ 08084-1520
(856) 309-1212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00769100
NEW JERSEY BOARD OF PHARMACY
NJ
Enumeration date
01/10/2019
Last updated
01/10/2019
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