Organization
KINGSWAY PHARMACY LLC
Active
Other names
KINGSWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER UGWU (PHARMACIST IN CHARGE)
(973) 448-3702
Entity
Organization
Contact information
Practice address
135 US HIGHWAY 46, BUDD LAKE, NJ 07828-2514
(973) 448-3702
(973) 448-3705
Mailing address
55 SHIPPEN RDG, OXFORD, NJ 07863-3238
(908) 453-3692
(908) 453-3636
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00708600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3197438
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/02/2010
Last updated
11/04/2010
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