Organization
ST MARIA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDA WISA RPH (PHARMACIST IN CHARGE)
(732) 485-9570
Entity
Organization
Contact information
Practice address
1004 COMMONS DR, EAST BRUNSWICK, NJ 08816-5217
(732) 485-9570
Mailing address
1004 COMMONS DR, EAST BRUNSWICK, NJ 08816-5217
(732) 485-9570
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
28RI03792000
NJ
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
About Stedi
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