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Organization

MEDICAL TECHNOLOGY PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL NESTICO RPH (MANAGING MEMBER)
(201) 602-4512
Entity
Organization

Contact information

Practice address
54 MAIN ST, BLOOMINGDALE, NJ 07403-1630
(201) 881-8281
Mailing address
PO BOX 134, BLOOMINGDALE, NJ 07403-0134
(201) 881-8281

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00744800
NJ

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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