Organization
GENERATION PHARMACY GROUP, LLC.
Active
Other names
Generation Pharmacy Group, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M WITZAL RPH (PRESIDENT)
(973) 299-2500
Entity
Organization
Contact information
Practice address
85 FULTON STREET, SUITE 9A, BOONTON, NJ 07005
(973) 299-2500
(973) 265-0005
Mailing address
85 FULTON STREET, SUITE 9A, BOONTON, NJ 07005
(973) 299-2500
(973) 265-0005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00722500
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3199204
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/26/2012
Last updated
10/08/2015
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