Organization
BRIDGETON RX INC
Active
Other names
Health Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS WAGNER (PRES)
(856) 319-5004
Entity
Organization
Contact information
Practice address
14 N PEARL ST STE 101, BRIDGETON, NJ 08302-1902
(973) 865-6577
Mailing address
15 RAINTREE CT, HOLMDEL, NJ 07733-2814
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/06/2022
Last updated
01/10/2024
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