Organization
PKS COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX GONCALVES PHARMD (PHARMACIST IN CHARGE)
(732) 317-4668
Entity
Organization
Contact information
Practice address
1903 ROUTE 27, EDISON, NJ 08817-3212
(732) 317-4668
Mailing address
1903 ROUTE 27, EDISON, NJ 08817-3212
(732) 317-4668
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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