Organization
BRACE RD SUPERMARKET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA GADKARI (THIRD PARTY/PHARMACY SYSTEMS ADMIN)
(732) 521-8448
Entity
Organization
Contact information
Practice address
1445 BRACE RD, CHERRY HILL, NJ 08034-3535
(856) 216-7710
Mailing address
1445 BRACE RD, CHERRY HILL, NJ 08034-3535
(856) 216-7710
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
08/20/2008
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