Organization
MAPLE RX LLC
Active
Other names
Westgate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL BRACH (MANAGING MEMBER)
(732) 370-2500
Entity
Organization
Contact information
Practice address
112 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3148
(732) 370-2500
(732) 886-7363
Mailing address
112 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3148
(732) 370-2500
(732) 886-7363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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