Organization
SMASH MEDICINE L L C
Active
Other names
King Boulevard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SARFARAZ AHMED RPH/BS (RPH)
(609) 234-0567
Entity
Organization
Contact information
Practice address
836 ML KING BLVD, TRENTON, NJ 08638
(609) 396-6288
(609) 396-6233
Mailing address
836 ML KING BLVD, TRENTON, NJ 08638
(609) 396-6288
(609) 396-6233
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00706400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3193769
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/17/2006
Last updated
04/19/2011
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