Organization
MORRISTOWN PHARMACY LLC
Active
Other names
MOLNAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAJU V PENEMATCHA (PRESIDENT)
(732) 619-3164
Entity
Organization
Contact information
Practice address
76 MORRIS ST, MORRISTOWN, NJ 07960-4182
(973) 538-5053
(973) 538-5281
Mailing address
76 MORRIS ST, MORRISTOWN, NJ 07960-4182
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00642100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062855
—
NJ
01
—
3111957
OTHER ID NUMBER
—
Enumeration date
08/31/2006
Last updated
09/08/2017
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