Organization
MAPLE SHADE APOTHECARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD REHAN KHAN (OWNER)
(856) 779-8300
Entity
Organization
Contact information
Practice address
25 W MAIN ST, MAPLE SHADE, NJ 08052-2411
(856) 779-8300
Mailing address
25 W MAIN ST, MAPLE SHADE, NJ 08052-2411
(856) 779-8300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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