Longevitirx LLC
Pharmacy in Marlton, NJ. Organization (NPI-2).
NPI number1629976014
StatusActive
Last updated in NPPESOct 27, 2026
Details
- NPI
- 1629976014
- Entity type
- Organization (NPI-2)
- Legal business name
- Longevitirx LLC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2026
- Certification date
- Oct 27, 2026
- Last updated
- Oct 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Practice location
36 Route 70 W Ste 212Marlton, NJ 08053-3024
Phone 856-244-5460
Mailing address
36 Route 70 W Ste 212Marlton, NJ 08053-3024
Phone 856-244-5460
Authorized official
Ryan Taylor
Owner
6094575693
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