Organization
NEW HOPE PHARMACY LLC
Active
Other names
New Hope pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THELMA ODOEMENE (PHARMACIST IN CHARGE/OWNER)
(856) 776-3128
Entity
Organization
Contact information
Practice address
593 BLACKWOOD CLEMENTON RD, LINDENWOLD, NJ 08021-5901
(856) 770-1100
(856) 770-1103
Mailing address
593 BLACKWOOD CLEMENTON RD, LINDENWOLD, NJ 08021-5901
(856) 770-1100
(856) 770-1103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00716700
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234779
PTAN NUMBER
NJ
01
—
3198339
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/07/2011
Last updated
08/23/2012
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