Organization
PLAINSBORO PHARMACY LLC
Active
Other names
PLAINSBORO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSRY MACKSOUD RPH (OWNER/PIC/AO)
(609) 750-0101
Entity
Organization
Contact information
Practice address
9 SCHALKS CROSSING RD STE 712, PLAINSBORO, NJ 08536-1618
(609) 750-0101
(609) 750-0707
Mailing address
9 SCHALKS CROSSING RD STE 712, PLAINSBORO, NJ 08536-1618
(609) 750-0101
(609) 750-0707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00662100
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128911
—
NJ
01
—
2055946
PK
—
Enumeration date
07/06/2006
Last updated
02/20/2017
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