Organization
TEXAS ROAD APPLEGARTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE CARDOSO (OWNER)
(609) 235-9368
Entity
Organization
Contact information
Practice address
355 APPLEGARTH RD, MONROE, NJ 08831-3733
(609) 235-9368
(609) 235-9399
Mailing address
355 APPLEGARTH RD, MONROE, NJ 08831-3733
(609) 235-9368
(609) 235-9399
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RS00687700
NJ STATE LICENSE
NJ
Enumeration date
04/20/2020
Last updated
04/20/2020
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