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Organization

SN SUPREME LLC

Active
Other names
Supreme Health
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALTON CHATMON PHARM. D. (PRESIDENT, PHARMACY OPERATIONS)
(609) 598-2453
Entity
Organization

Contact information

Practice address
1301 N 10TH ST, SUITE #1, MILLVILLE, NJ 08332-2033
(877) 244-6558
(856) 210-1556
Mailing address
1301 N 10TH ST, SUITE #1, MILLVILLE, NJ 08332-2033
(877) 244-6558
(856) 210-1556

Taxonomy

Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
28RS00679300
NJ

Other

Enumeration date
09/28/2008
Last updated
09/28/2008
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