Organization
COMMUNITY PHARMACY LLC
Active
Other names
Community Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY PATEL (MANAGER)
(732) 293-1777
Entity
Organization
Contact information
Practice address
275 HOBART ST UNIT 101, PERTH AMBOY, NJ 08861-4310
(732) 293-1777
(732) 293-1778
Mailing address
275 HOBART ST, UNIT #101, PERTH AMBOY, NJ 08861-4310
(732) 293-1777
(732) 293-1778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00703000
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3197008
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/14/2010
Last updated
06/24/2010
About Stedi
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