Organization
AVENEL PHARMACY INC
Active
Other names
AVENEL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HANK INCOGNITO RPH (CEO)
(732) 634-1914
Entity
Organization
Contact information
Practice address
994 RAHWAY AVE, AVENEL, NJ 07001-1946
(732) 634-1914
(732) 634-5708
Mailing address
994 RAHWAY AVE, AVENEL, NJ 07001-1946
(732) 634-1914
(732) 634-5708
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00631600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054927
PK
—
05
—
34576
—
NJ
Enumeration date
09/20/2006
Last updated
03/27/2017
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