Modern Rx Limited Liability Company
Pharmacy, Community/Retail Pharmacy in Brick, NJ. Organization (NPI-2).
NPI number1669902102
StatusActive
Last updated in NPPESJun 18, 2017
Details
- NPI
- 1669902102
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Rx Limited Liability Company
- Organization subpart
- No
- Enumeration date
- Jun 18, 2017
- Last updated
- Jun 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 28RS00756700 | NJ | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Modern Medicine Rx (Doing Business As)
Practice location
56 Chambers Bridge Rd Ste 8Brick, NJ 08723-4148
Phone 732-475-7593 · Fax 732-903-7402
Mailing address
56 Chambersbridge Road Suite 8Brick, NJ 08723
Phone 732-475-7593 · Fax 732-903-7402
Authorized official
Klara Reizis
Owner
2014209000
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