Organization
NETCONG PHARMACY INC
Active
Other names
LAKELAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PANCHAL PHARM.D (PHARMACIST-IN-CHARGE)
(973) 347-0068
Entity
Organization
Contact information
Practice address
17 MAPLE AVE, NETCONG, NJ 07857-1125
(973) 347-0068
(973) 347-6765
Mailing address
17 MAPLE AVE, NETCONG, NJ 07857-1125
(973) 347-0068
(973) 347-6765
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00642300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047783
—
NJ
01
—
2055457
PK
—
Enumeration date
07/18/2006
Last updated
02/10/2017
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