Organization
RT 70 PHARMACY INC
Active
Other names
COVERED BRIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRAPRASAD VENIGALLA (SECRETARY)
(856) 429-8700
Entity
Organization
Contact information
Practice address
1501 ROUTE 70 E, CHERRY HILL, NJ 08034-2233
(856) 429-8700
(856) 429-5057
Mailing address
1501 ROUTE 70 E, CHERRY HILL, NJ 08034-2233
(856) 429-8700
(856) 429-5057
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00707600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262293
—
NJ
01
—
2126584
PK
—
Enumeration date
09/20/2006
Last updated
04/13/2020
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