Organization
LIBBYS FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LIBBY (OWNER)
(973) 912-9199
Entity
Organization
Contact information
Practice address
246 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-2215
(973) 912-9170
(973) 912-9170
Mailing address
246 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-2215
(973) 912-9170
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RS00650700
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080543
—
NJ
01
—
3192907
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
02/05/2008
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