Organization
TICETOWN PHARMACY & SURGICAL INC.
Active
Other names
The Wellness Center Pharmacy & Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
SNEHAL PATEL (PRESIDENT)
(732) 679-3555
Entity
Organization
Contact information
Practice address
3117 US HIGHWAY 9, SUITE 3123, OLD BRIDGE, NJ 08857-2690
(732) 679-3555
Mailing address
3117 US HIGHWAY 9, SUITE 3123, OLD BRIDGE, NJ 08857
(732) 679-3555
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00700600
NJ
3336S0011X
Specialty Pharmacy
28RS00700600
NJ
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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