Organization
SOUTHWOOD PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEMIL KHANDWALA PHARMD. (PRESIDENT)
(732) 254-7800
Entity
Organization
Contact information
Practice address
15 COUNTY ROAD 516, OLD BRIDGE, NJ 08857-1402
(732) 254-7800
Mailing address
15 COUNTY ROAD 516, OLD BRIDGE, NJ 08857-1402
(732) 254-7800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00631400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168793
—
NJ
01
—
3113278
NCPDP
NJ
Enumeration date
09/05/2006
Last updated
08/25/2014
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