Organization
GOLD KIMBALL INTERNATIONAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAOYING CHEN R.PH. (PRESIDENT)
(732) 367-0688
Entity
Organization
Contact information
Practice address
2080 W COUNTY LINE RD, JACKSON, NJ 08527-2015
(732) 367-0688
Mailing address
2080 W COUNTY LINE RD, JACKSON, NJ 08527-2015
(732) 367-0688
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00622500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3145174
NABP
NJ
05
—
9062009
—
NJ
05
—
9062017
—
NJ
Enumeration date
01/06/2007
Last updated
08/22/2020
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