Organization
15W PHARMACY INC
Active
Other names
15W Pharmacy Edison
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M MCCANN (REIMBURSEMENT DIRECTOR)
(732) 346-1333
Entity
Organization
Contact information
Practice address
95 NEWFIELD AVE, STE B, EDISON, NJ 08837-3824
(732) 346-1333
(732) 346-9221
Mailing address
95 NEWFIELD AVE, STE B, EDISON, NJ 08837-3824
(732) 346-1333
(732) 346-9221
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00607000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019646380001
—
PA
05
—
02282268
—
NY
01
—
3144209
NCPDP
NJ
05
—
8710309
—
NJ
05
—
8710317
—
NJ
Enumeration date
06/14/2005
Last updated
07/13/2007
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