Organization
SSANJ RX INC
Active
Other names
Community Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI MUNNANGI (PRESIDENT)
(609) 896-2700
Entity
Organization
Contact information
Practice address
1668 N OLDEN AVE, EWING, NJ 08638-3209
(609) 896-2700
(609) 896-2701
Mailing address
1668 N OLDEN AVE, EWING, NJ 08638-3209
(609) 896-2700
(609) 896-2701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00746500
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155445
PK
—
Enumeration date
11/11/2015
Last updated
01/08/2020
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