Organization
DENDRITE PHARMACY DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KAMENETZ RPH (PIC)
(973) 646-7564
Entity
Organization
Contact information
Practice address
25 MADISON RD, STE 1, TOTOWA, NJ 07512-1003
(800) 572-3836
(973) 646-7678
Mailing address
25 MADISON RD, STE 1, TOTOWA, NJ 07512-1003
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
28RS00629400
NJ
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3192159
OTHER ID NUMBER
—
Enumeration date
04/22/2008
Last updated
04/22/2008
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