Organization
ALLENTOWN VILLAGE PHARMACY INC
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANN ERVIN RPH MHA (RPIC CO/OWNER)
(609) 259-2202
Entity
Organization
Contact information
Practice address
1278 YARDVILLE ALLENTOWN RD STE 5, ALLENTOWN, NJ 08501-1866
(609) 259-2202
(609) 259-6735
Mailing address
1278 YARDVILLE ALLENTOWN RD STE 5, ALLENTOWN, NJ 08501-1866
(609) 259-2202
(609) 259-6735
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00651900
NJ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080586
—
NJ
01
—
2055350
PK
—
Enumeration date
06/22/2006
Last updated
05/12/2020
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