Organization
JRE AVE MARIA LLC
Active
Parent organization
JRE AVE MARIA LLC
Other names
Randolph Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
JRE AVE MARIA LLC
Authorized official
JOHN GHALY (MANAGING MEMBER)
(973) 442-4020
Entity
Organization
Contact information
Practice address
124 ROUTE 10, UNIT 4, RANDOLPH, NJ 07869-2415
(973) 442-4020
Mailing address
124 ROUTE 10, RANDOLPH, NJ 07869-2415
(973) 442-4020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NJ
Other
Enumeration date
01/09/2017
Last updated
01/24/2020
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