Organization
ALISON HENRY
Active
Other names
Milltown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON HENRY (OWNER PHARMACIST)
(732) 828-0080
Entity
Organization
Contact information
Practice address
21 N MAIN ST, MILLTOWN, NJ 08850-1518
(732) 828-0080
Mailing address
21 N MAIN ST, MILLTOWN, NJ 08850-1518
(732) 828-0080
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00367700
NJ
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4364601
—
NJ
Enumeration date
02/20/2007
Last updated
06/24/2008
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