Organization
MEMORIAL SLOAN KETTERING CANCER CENTER
Active
Other names
Memorial Sloan Kettering at Basking Ridge Retail
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MURILLO (PHARMACY MANAGER)
(212) 639-2206
Entity
Organization
Contact information
Practice address
136 MOUNTAINVIEW BLVD STE 171, BASKING RIDGE, NJ 07920-3444
(908) 542-3443
(201) 691-6432
Mailing address
1275 YORK AVE RM H-313, NEW YORK, NY 10065-6007
(212) 639-2206
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00757700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171370
PK
—
Enumeration date
09/13/2017
Last updated
09/19/2025
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