Organization
MEDCO HEALTH SOLUTIONS OF WILLINGBORO, LLC
Active
Other names
Medco Center for Pharmacotherapeutic Research
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY CESANEK (ASSISTANT SECRETARY)
(609) 880-2307
Entity
Organization
Contact information
Practice address
1 MILLENIUM DR, SUITE 101, WILLINGBORO, NJ 08046-1000
(877) 807-0947
(609) 880-2221
Mailing address
1 MILLENIUM DR, SUITE 101, WILLINGBORO, NJ 08046-1000
(877) 807-0947
(609) 880-2221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00701500
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124850
PK
—
Enumeration date
05/21/2010
Last updated
05/01/2013
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