Organization
MULE ROAD PHARMACY LLC
Active
Other names
MULE ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MALAV KANUGA (PHARMACY MANAGER)
(732) 244-3737
Entity
Organization
Contact information
Practice address
600 MULE RD, UNIT-2, PLAZA -3, TOMS RIVER, NJ 08757-6461
(732) 244-3737
(732) 244-3767
Mailing address
600 MULE ROAD, UNIT-2, PLAZA -3, TOMS RIVER, NJ 08757
(732) 244-3737
(732) 244-3767
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00701600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124433
PK
—
Enumeration date
03/17/2010
Last updated
09/04/2014
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