Organization
JEFFERSON DRUGS LLC
Active
Other names
jeffeson pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ALMANZA (PRESIDENT)
(201) 803-5838
Entity
Organization
Contact information
Practice address
706 RT 15 SOUTH, STE 104, LAKE HOPATCONG, NJ 07849
(973) 663-2550
(973) 663-2440
Mailing address
706 RT 15 SOUTH, STE 104, LAKE HOPATCONG, NJ 07849
(973) 663-2550
(973) 663-2440
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RS00644500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3196993
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/21/2010
Last updated
06/21/2010
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