Organization
FORT LEE PHARMACY & SURGICAL INC
Active
Other names
Fort Lee Pharmacy & Surgicals, FORT LEE PHARMACY AND SURGICALS INC
Organization subpart
No
Provider details
NPI number
Authorized official
MYEONGHA JO (PRESIDENT)
(201) 346-9202
Entity
Organization
Contact information
Practice address
1562 LEMOINE AVE, FORT LEE, NJ 07024-5652
(201) 346-9202
(201) 346-9212
Mailing address
1562 LEMOINE AVE, FORT LEE, NJ 07024-5652
(201) 346-9202
(201) 346-9212
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RS00613000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055063
PK
—
05
—
8869103
—
NJ
Enumeration date
08/31/2006
Last updated
10/04/2024
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