Organization
INTEGRATED MEDICATION MANAGEMENT
Active
Other names
BAYADA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY NGO (SVP OPERATIONS)
(856) 380-1828
Entity
Organization
Contact information
Practice address
136 GAITHER DR STE 120, MOUNT LAUREL, NJ 08054-1725
(856) 380-1828
Mailing address
136 GAITHER DR STE 120, MOUNT LAUREL, NJ 08054-1725
(856) 380-1828
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
06/11/2021
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