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)
(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
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00598700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3195535
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
8528406
—
NJ
Enumeration date
01/02/2009
Last updated
01/02/2009
Update your record
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