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Organization

LONG TERM CARE RX LLC

Active
Other names
LONG TERM CARE RX LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES CRIMMINS (OWNER PHCST)
(888) 858-6175
Entity
Organization

Contact information

Practice address
149 3RD AVE, WESTWOOD, NJ 07675-2142
(888) 858-6175
(888) 858-6176
Mailing address
149 3RD AVE, WESTWOOD, NJ 07675-2142
(888) 858-6175
(888) 858-6176

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00598700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3106057
NCPDP PROVIDER IDENTIFICATION NUMBER
05
8528403
NJ
Enumeration date
12/13/2006
Last updated
09/30/2010
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