Organization
MG RX LLC
Active
Other names
Lodi Pharmacy rx
Organization subpart
No
Provider details
NPI number
Authorized official
BASSEM GHOBRIAL (AUTHORIZED OFFICIALS)
(201) 577-8486
Entity
Organization
Contact information
Practice address
150-170 MAIN ST, SUITE 104, LODI, NJ 07644-1724
(201) 577-8486
Mailing address
150 -170 MAIN ST, SUITE 104, LODI, NJ 07644-1724
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
05/22/2025
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