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Organization

CUSTOMIZED PERFORMANCE FOODS

Active
Other names
Dietary Specialties
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROGER JONES (VICE PRESIDENT GENERAL MANAGER)
(973) 884-5837
Entity
Organization

Contact information

Practice address
10 LESLIE CT, WHIPPANY, NJ 07981-1635
(888) 640-2800
(973) 884-5907
Mailing address
10 LESLIE CT, WHIPPANY, NJ 07981-1635
(888) 640-2800
(973) 884-5907

Taxonomy

Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary

Other

Enumeration date
12/05/2006
Last updated
08/22/2020
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