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Organization

BOP RX INC

Active
Other names
Black Oak Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN RUDITSER (VICE PRESIDENT)
(973) 837-8770
Entity
Organization

Contact information

Practice address
879 BLACK OAK RIDGE RD UNIT 2, WAYNE, NJ 07470-6400
(973) 837-8770
(973) 837-8771
Mailing address
879 BLACK OAK RIDGE RD, UNIT #2, WAYNE, NJ 07470-6400
(973) 837-8770
(973) 837-8771

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
28RS00759100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0606014
NJ
01
2171984
PK
Enumeration date
10/05/2017
Last updated
09/19/2025
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