Organization
GENERATION PHARMACY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDSEE KAY MANNA (VICE PRESIDENT, OWNER)
(973) 299-2500
Entity
Organization
Contact information
Practice address
110 MAIN RD, MONTVILLE, NJ 07045-9215
(973) 299-2500
(973) 909-9935
Mailing address
110 MAIN RD, MONTVILLE, NJ 07045-9215
(973) 299-2500
(973) 909-9935
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
28RS00722500
NJ
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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