Organization
WYATT'S TORCH
Active
Other names
BELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO MINNITI RPH (OWNER /PIC)
(856) 963-4742
Entity
Organization
Contact information
Practice address
1201 HADDON AVE, CAMDEN, NJ 08103-3105
(856) 963-4742
(856) 541-8580
Mailing address
1201 HADDON AVE, CAMDEN, NJ 08103-3105
(856) 963-4742
(856) 541-8580
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00628300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400840
—
NJ
01
—
2140745
PK
—
Enumeration date
08/31/2006
Last updated
04/22/2024
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