Organization
LIGHT PHARMACY LLC
Active
Other names
Light Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON KING RPH (OWNER/PIC)
(856) 417-0005
Entity
Organization
Contact information
Practice address
212 LAUREL HEIGHTS DR, BRIDGETON, NJ 08302-3634
(856) 417-0005
Mailing address
212 LAUREL HEIGHTS DR, BRIDGETON, NJ 08302-3634
(856) 417-0005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
28RS00721200
NJ
3336C0004X
Compounding Pharmacy
Primary
28RS00721200
NJ
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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