Organization
THE CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C FORDHAM PHARM D (OWNER)
(856) 489-3256
Entity
Organization
Contact information
Practice address
1930 ROUTE 70 E, STE U-104, CHERRY HILL, NJ 08003-2150
(856) 489-3256
(856) 489-3258
Mailing address
1930 ROUTE 70 E, STE U-104, CHERRY HILL, NJ 08003-2150
(856) 489-3256
(856) 489-3258
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28R500640100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046418
MEDICAID DME #
NJ
05
—
0046426
—
NJ
Enumeration date
07/13/2005
Last updated
08/22/2020
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