Organization
DASH AND COMPANY LLC
Active
Other names
Formula Rx
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE DEVIA PHARMD (PHARMACIST IN CHARGE)
(908) 447-7637
Entity
Organization
Contact information
Practice address
505 N BROAD ST STE 103, ELIZABETH, NJ 07208-4302
(908) 576-6053
Mailing address
100 MANHATTAN AVE APT 407, UNION CITY, NJ 07087-5223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
03/07/2024
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