Organization
MEDILINE CORPORATION
Active
Other names
Gloucester City Pharmacy and Discount Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVINDER KOHLI (PRESIDENT)
(856) 456-7600
Entity
Organization
Contact information
Practice address
525 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
(856) 456-7600
Mailing address
525 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
(856) 456-7600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00698500
NJ
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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