Organization
OLD STONE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA FRICKE (PHARMACIST)
(201) 746-4555
Entity
Organization
Contact information
Practice address
28 W GRAND AVE, SUITE 6, MONTVALE, NJ 07645-2100
(201) 746-4555
(201) 745-4989
Mailing address
28 W GRAND AVE, SUITE 6, MONTVALE, NJ 07645-2100
(201) 746-4555
(201) 745-4989
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00734600
NJ
3336S0011X
Specialty Pharmacy
28RS00734600
NJ
Other
Enumeration date
07/09/2014
Last updated
07/24/2014
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