Organization
MAIN PHARMACY LLC
Active
Other names
Main Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LILIAM SPIEKER PHARM D (OWNER)
(856) 692-6246
Entity
Organization
Contact information
Practice address
80 S MAIN RD STE 112, VINELAND, NJ 08360-7829
(856) 692-6246
(856) 692-0188
Mailing address
80 S MAIN RD STE 112, VINELAND, NJ 08360-7829
(856) 692-6246
(856) 692-0188
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00705400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250864
—
NJ
01
—
2125871
PK
—
Enumeration date
07/19/2010
Last updated
06/17/2015
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