Organization
FORT LEE PHARMACY & SURGICAL INC
Active
Other names
Fort Lee Pharmacy & Surgicals
Organization subpart
No
Provider details
NPI number
Authorized official
MYEONGHA JO (OWNER)
(201) 346-9202
Entity
Organization
Contact information
Practice address
1562 LEMOINE AVE, FORT LEE, NJ 07024-5652
(201) 346-9202
Mailing address
1562 LEMOINE AVE STE 2, FORT LEE, NJ 07024-5652
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8869111
—
NJ
Enumeration date
10/06/2017
Last updated
10/03/2024
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