Organization
RESTORATION PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES IKENNA EZEONYIM (PHARMACIST)
(908) 688-8866
Entity
Organization
Contact information
Practice address
2153 TYLER STREET, 1385 STUYVESANT ST, UNION, NJ 07083
(908) 688-7575
(908) 688-8866
Mailing address
2153 TYLER STREET, 1385 STUYVESANT ST, UNION, NJ 07083
(908) 688-7575
(908) 688-8866
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/03/2007
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