Organization
BOYDS PHARMACY OF MEDFORD INC
Active
Other names
Boyd's Pharmacy of Medford
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOOTELL (DIRECTOR OF OPERATIONS)
(609) 975-8197
Entity
Organization
Contact information
Practice address
5 WILKINS STATION RD STE 100, MEDFORD, NJ 08055-9606
(609) 975-8197
(609) 975-8223
Mailing address
5 WILKINS STATION RD STE 100, MEDFORD, NJ 08055-9606
(609) 975-8197
(609) 975-8223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00715400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286541
—
NJ
01
—
2132262
PK
—
Enumeration date
10/10/2011
Last updated
10/02/2024
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