Organization
SHIVITA RX LLC
Active
Organization
SHIVITA RX LLC
Active
Other names
Lacey Pharmacy and Convenience
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KETANKUMAR B PATEL RPH (OWNER)
(609) 622-5507
Entity
Organization
Contact information
Practice address
5 LACEY RD, FORKED RIVER, NJ 08731-4238
(609) 622-5507
(609) 622-5509
Mailing address
5 LACEY RD, FORKED RIVER, NJ 08731-4238
(609) 622-5507
(609) 622-5509
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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