Organization
ONE PHARMACY LLC
Active
Other names
OLDE MEDFORD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LUDWIKOWSKI RPH (OWNER)
(609) 654-6884
Entity
Organization
Contact information
Practice address
639 STOKES RD, STE 101, MEDFORD, NJ 08055-3003
(609) 654-6884
(609) 654-6887
Mailing address
639 STOKES RD, STE 101, MEDFORD, NJ 08055-3003
(609) 654-6884
(609) 654-6887
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00679100
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056253
PK
—
Enumeration date
03/18/2008
Last updated
02/20/2017
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