Organization
ROLLIES PHARMACY INC
Active
Other names
Rollie's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DERRY HOLLAND (CEO)
(609) 267-4969
Entity
Organization
Contact information
Practice address
128 CROSS KEYS RD, BERLIN, NJ 08009-9201
(856) 210-1515
Mailing address
128 CROSS KEYS RD, BERLIN, NJ 08009-9201
(856) 210-1515
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
28RS00749900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163666
PK
—
Enumeration date
08/22/2016
Last updated
01/23/2017
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