Organization
EJ AND JJ INC
Active
Other names
THE MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JISUK JUNG R.PH. (PHARMACIST PRESIDENT)
(201) 944-1002
Entity
Organization
Contact information
Practice address
2468 LEMOINE AVE, FORT LEE, NJ 07024-6206
(201) 944-1002
(201) 944-6336
Mailing address
2468 LEMOINE AVE, FORT LEE, NJ 07024-6206
(201) 944-1002
(201) 944-6336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00534000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45PD00000700
ORTHOTICS & PROSTHETICS( PEDORTHIST)
NJ
05
—
6996906
—
NJ
05
—
6996914
—
NJ
Enumeration date
06/03/2006
Last updated
12/29/2014
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