Organization
MANAGUA INC
Active
Other names
FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOHIT PATEL (FRONT STORE MANAGER)
(856) 627-0004
Entity
Organization
Contact information
Practice address
581 BLACKWOOD CLEMENTON RD, LINDENWOLD, NJ 08021-5901
(856) 627-0004
(856) 627-2244
Mailing address
581 BLACKWOOD CLEMENTON RD, LINDENWOLD, NJ 08021-5901
(856) 627-0004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00688300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3144401
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2006
Last updated
07/23/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up