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NPI Code Detail

MEDICARE: NEW ROAD PHARMACY AND SURGICAL INC

MEDICARE: NEW ROAD PHARMACY AND SURGICAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyNJ

General Provider Information

NPI Number : 1942548730
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ROAD PHARMACY AND SURGICAL INC
Provider Business Mailing Address
First Line : 69 NEW RD
Second Line :
City : PARSIPPANY
State : NJ
Zip : 07054-4206
Country : US
Telephone Number : 973-227-3937
Fax Number : 973-227-3917
Provider Business Practice Location Address
First Line : 69 NEW RD
Second Line :
City : PARSIPPANY
State : NJ
Zip : 07054-4206
Country : US
Telephone Number : 973-227-3937
Fax Number : 973-227-3917
Authorized Official
Title or Position : PHARMACIST-IN-CHARGE
Name : WON JAMES KIM
Credential : RPH
Telephone Number : 973-227-3937
Provider Enumeration Date : 01/29/2013
Last Update Date : 09/04/2013

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