Organization
MALANDA INC
Active
Other names
MANDELLS CLINICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MALANDA RPH (RPH)
(732) 735-0825
Entity
Organization
Contact information
Practice address
7 CEDAR GROVE LN, SOMERSET, NJ 08873-1331
(732) 907-6780
(732) 356-4398
Mailing address
7 CEDAR GROVE LN, SOMERSET, NJ 08873-1331
(732) 907-6780
(732) 356-4398
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
28RS00431800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051618
PK
—
05
—
4410009
—
NJ
Enumeration date
11/01/2006
Last updated
07/28/2016
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