Organization
PHARMVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BATTISTA R.PH (CLINICAL PHARMACIST)
(201) 602-3840
Entity
Organization
Contact information
Practice address
54 POPLAR DRIVE, MORRIS PLAINS, NJ 07950-3231
(201) 602-3840
Mailing address
54 POPLAR DR, MORRIS PLAINS, NJ 07950-3231
(201) 602-3840
(973) 993-9999
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
28RI10163000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104367895
PHARMACIST
NJ
Enumeration date
06/14/2018
Last updated
06/16/2018
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