Organization
JILL PHARMACY CORP
Active
Other names
ROCK RIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HARSHA MORI (PRESIDENT)
(201) 444-4190
Entity
Organization
Contact information
Practice address
191 ROCK RD, GLEN ROCK, NJ 07452-1706
(201) 444-4190
(201) 444-2698
Mailing address
191 ROCK RD, GLEN ROCK, NJ 07452-1706
(201) 444-4190
(201) 444-2698
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00487300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160724
PK
—
Enumeration date
06/21/2016
Last updated
06/24/2016
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