Organization
JACKSON VILLAGE PHARMACY LLC
Active
Other names
Hackensack Meridian Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL OUELLETTE (MANAGING PARTNER)
(732) 994-7387
Entity
Organization
Contact information
Practice address
27 S COOKS BRIDGE RD STE 1-1, JACKSON, NJ 08527-2460
(732) 994-7387
Mailing address
27 S COOKS BRIDGE RD STE 1-1, JACKSON, NJ 08527-2460
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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