Organization
PRESCRIPTION DISPENSARY OF ORADELL LLC
Active
Other names
Prescription Dispensary of Oradell
Organization subpart
No
Provider details
NPI number
Authorized official
BILL HAYES (VICE-PRESIDENT)
(201) 322-6360
Entity
Organization
Contact information
Practice address
680 KINDERKAMACK RD STE 104, ORADELL, NJ 07649-1600
(201) 322-6360
Mailing address
680 KINDERKAMACK RD, SUITE104, ORADELL, NJ 07649-1600
(201) 322-6360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00694900
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3196323
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/04/2009
Last updated
09/15/2009
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