Organization
MILL PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LAUTMAN R.PH. (PRESIDENT PHARMACIST,C.F.)
(856) 234-0777
Entity
Organization
Contact information
Practice address
3701 CHURCH RD, MOUNT LAUREL, NJ 08054-1133
(856) 234-0777
(856) 235-6861
Mailing address
3701 CHURCH RD, MOUNT LAUREL, NJ 08054-1133
(856) 234-0777
(856) 235-6861
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2590603
NJ
332BX2000X
Oxygen Equipment & Supplies (DME)
2590603
NJ
333600000X
Pharmacy
Primary
4297105
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2590603
—
NJ
05
—
4297105
—
NJ
Enumeration date
08/10/2005
Last updated
09/11/2025
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