Organization
SOUTHWOOD PHARMACY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAKESH RAJGANDHI R.P. (RP IN CHARGE)
(732) 254-7800
Entity
Organization
Contact information
Practice address
15 ROUTE 516, OLD BRIDGE, NJ 08857-1402
(732) 254-7800
Mailing address
15 ROUTE 516, OLD BRIDGE, NJ 08857-1402
(732) 254-7800
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00631400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036978
—
NJ
Enumeration date
01/11/2006
Last updated
08/22/2020
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