Organization
STAFFORD PHARMACY INC
Active
Other names
STAFFORD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GENCO RPH (PHARMACIST MANAGER)
(609) 597-9625
Entity
Organization
Contact information
Practice address
24 NAUTILUS DR, UNIT 1, MANAHAWKIN, NJ 08050-2490
(609) 597-9625
(609) 597-0047
Mailing address
24 NAUTILUS DR, UNIT 1, MANAHAWKIN, NJ 08050-2490
(609) 597-9625
(609) 597-0047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00482100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2057891
PK
—
05
—
4346807
—
NJ
Enumeration date
09/20/2006
Last updated
04/07/2017
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