Organization
FANWOOD RX CORP
Active
Other names
Fanwood Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MITUL P PATEL PHARMD (OWNER)
(908) 680-6936
Entity
Organization
Contact information
Practice address
45 S MARTINE AVE, FANWOOD, NJ 07023-1216
(908) 680-6936
(908) 680-6937
Mailing address
1 TED LIGHT WAY, PISCATAWAY, NJ 08854-5094
(908) 680-6936
(908) 680-6937
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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