Organization
BETHEL
Active
Other names
Parkway Central Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DUNCAN (OWNER)
(908) 477-3057
Entity
Organization
Contact information
Practice address
185 CENTRAL AVE, EAST ORANGE, NJ 07018-3332
(973) 675-2951
(973) 678-0339
Mailing address
185 CENTRAL AVE, EAST ORANGE, NJ 07018-3332
(973) 675-2951
(973) 678-0339
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00408000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157734
PK
—
Enumeration date
10/10/2006
Last updated
06/27/2016
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