Organization
VLV ORANGE PHARMACY INC
Active
Other names
E&M Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAKASH MADDALI (RPH)
(973) 677-2800
Entity
Organization
Contact information
Practice address
205 S ESSEX AVE, ORANGE, NJ 07050
(973) 677-2800
Mailing address
205 S ESSEX AVE, ORANGE, NJ 07050-3401
(973) 677-2800
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
28RS00554100
NJ
Other
Enumeration date
05/07/2015
Last updated
09/20/2019
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