Organization
ROSVOLD RX LLC
Active
Other names
ROSVOLD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELL MARTINEZ (OWNER)
(856) 829-4877
Entity
Organization
Contact information
Practice address
2702 ROUTE 130 N, CINNAMINSON, NJ 08077-3015
(856) 829-4877
(856) 829-6630
Mailing address
2702 ROUTE 130 N, CINNAMINSON, NJ 08077-3015
(856) 829-4877
(856) 829-6630
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00529800
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054169
PK
—
05
—
7155905
—
NJ
Enumeration date
12/18/2006
Last updated
10/03/2023
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