Organization
MAYWOOD RX INC
Active
Other names
maywood pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMAL BODAWALA (PRESIDENT)
(201) 880-5290
Entity
Organization
Contact information
Practice address
102 W PLEASANT AVE, MAYWOOD, NJ 07607-1336
(201) 880-5290
(201) 880-5291
Mailing address
102 W PLEASANT AVE, MAYWOOD, NJ 07607-1336
(201) 880-5290
(201) 880-5291
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00702900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1107038
—
NJ
Enumeration date
04/29/2010
Last updated
08/07/2025
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