Organization
937 SOUTHWOOD LLC
Active
Other names
SOUTHWOOD RITA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH MEHTA RPH (PIC)
(908) 862-4444
Entity
Organization
Contact information
Practice address
937 S WOOD AVE, LINDEN, NJ 07036-4567
(908) 862-4444
(908) 862-6044
Mailing address
937 S WOOD AVE, LINDEN, NJ 07036-4567
(908) 862-4444
(908) 862-6044
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00661200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102067
—
NJ
05
—
0102075
—
NJ
01
—
3110929
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
12/07/2019
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