Organization · NPI-2

Bonhamtown Pharmacy LLC

Pharmacy, Community/Retail Pharmacy · Edison, NJ

NPI number1730787938
StatusActive
Last updated in NPPESOct 12, 2020

Details

NPI
1730787938
Entity type
Organization (NPI-2)
Legal business name
Bonhamtown Pharmacy LLC
Organization subpart
No
Enumeration date
Oct 12, 2020
Certification date
Oct 7, 2020
Last updated
Oct 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Practice location

2853 Woodbridge Ave
Suite 8
Edison, NJ 08837

Phone 732-605-4307 · Fax 732-605-4308

Mailing address

2853 Woodbridge Ave
Suite 8
Edison, NJ 08837

Phone 732-605-4307 · Fax 732-605-4308

Authorized official

Ankur Shah
Operating Partner
9084943916

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