Organization
RYLA COMMUNITY PHARMACY
Active
Other names
Ryla Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BUSHRA BOFAHREDIN (PHARMACIST IN CHARGE)
(856) 313-7681
Entity
Organization
Contact information
Practice address
4301 MAPLE AVE UNIT A, PENNSAUKEN, NJ 08109-1818
(856) 320-2609
(856) 320-2716
Mailing address
4301 MAPLE AVE UNIT A, PENNSAUKEN, NJ 08109-1818
(856) 320-2609
(856) 320-2716
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00736300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148500
PK
—
Enumeration date
11/07/2014
Last updated
05/27/2015
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