Organization
SOWADAUTH, INC.
Active
Other names
Rock Ridge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW H. KOPACKI R.PH. (PRESIDENT)
(201) 444-4190
Entity
Organization
Contact information
Practice address
191 ROCK RD, GLEN ROCK, NJ 07452-1706
(201) 444-4190
(201) 444-2698
Mailing address
PO BOX 605, 191 ROCK ROAD, GLEN ROCK, NJ 07452-0605
(201) 444-4190
(201) 444-2698
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4873
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6239609
—
NJ
Enumeration date
01/09/2007
Last updated
02/21/2008
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