Organization
PROVISION PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEMAL MAKADIA (PHARMACIST IN CHARGE)
(732) 333-0226
Entity
Organization
Contact information
Practice address
30 W MAIN ST, FREEHOLD, NJ 07728-2210
(732) 333-0226
(732) 333-0291
Mailing address
30 W MAIN ST, FREEHOLD, NJ 07728-2210
(732) 333-0226
(732) 333-0291
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00744000
NJ
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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