Organization · NPI-2
15w Pharmacy INC
Pharmacy, Long Term Care Pharmacy · Edison, NJ
NPI number1740285071
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1740285071
- Entity type
- Organization (NPI-2)
- Legal business name
- 15w Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2005
- Last updated
- Jul 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 28RS00607000 | NJ | Yes |
Other names
- 15w Pharmacy Edison (Doing Business As)
Practice location
95 Newfield AveSte B
Edison, NJ 08837-3824
Phone 732-346-1333 · Fax 732-346-9221
Mailing address
95 Newfield AveSte B
Edison, NJ 08837-3824
Phone 732-346-1333 · Fax 732-346-9221
Authorized official
Donna M Mccann
Reimbursement Director
7323461333
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