Organization
EWING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAUMIK THAKER (OWNER)
(609) 323-7503
Entity
Organization
Contact information
Practice address
1400 PARKWAY AVE STE A2, EWING, NJ 08628-3021
(609) 323-7503
Mailing address
1400 PARKWAY AVE STE A2, EWING, NJ 08628-3021
(609) 323-7503
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0734560
—
NJ
Enumeration date
04/18/2024
Last updated
04/18/2024
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