Organization
MEDFORD FAMILY PHARMACY LLC
Active
Other names
Medford Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LUDWIKOWSKI RPH (PHARMACIST/OWNER)
(856) 906-5530
Entity
Organization
Contact information
Practice address
103 OLD MARLTON PIKE STE 123, MEDFORD, NJ 08055-8772
(609) 654-0757
(609) 654-0751
Mailing address
103 OLD MARLTON PIKE, SUITE 123, MEDFORD, NJ 08055-8772
(609) 654-0757
(609) 654-0751
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00719700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135619
PK
—
Enumeration date
06/12/2012
Last updated
11/25/2014
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