Organization
HARRYS DREAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HITENDRAKUMAR PATEL RPH (PHARMACIST/OWNER)
(856) 983-1600
Entity
Organization
Contact information
Practice address
1 EVES DR STE 101, MARLTON, NJ 08053-3125
(856) 983-1600
(856) 983-1654
Mailing address
111 BUNNING DR, VOORHEES, NJ 08043-4163
(718) 702-7163
(856) 983-1654
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00759400
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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