Organization
GLEN ROCK HEALTH CARE ENTERPRISES INC.
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE LAM (PRESIDENT)
(201) 689-2252
Entity
Organization
Contact information
Practice address
644 GODWIN AVE. #2 GODWIN PLAZA, MIDLAND PARK, NJ 07432-1450
(201) 689-2252
Mailing address
644 GODWIN AVE. #2 GODWIN PLAZA, MIDLAND PARK, NJ 07432-1450
(201) 689-2252
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00588600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8374805
—
NJ
Enumeration date
02/17/2007
Last updated
10/29/2010
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