Organization
RANCH HEALTH EDISON LLC
Active
Other names
123 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CECILIA WONG PHARMD (PHARMACIST IN CHARGE)
(808) 389-1216
Entity
Organization
Contact information
Practice address
561 US-1 SOUTH, (UNIT 101) INSIDE 99 RANCH, EDISON, NJ 08817
(908) 858-3672
(908) 460-6778
Mailing address
561 US-1 SOUTH, (UNIT 101) INSIDE 99 RANCH, EDISON, NJ 08817
(908) 858-3672
(908) 460-6778
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
04/17/2024
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