Healthcare Provider Details

I. General information

NPI: 1659391118
Provider Name (Legal Business Name): R & M PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E MAIN ST
FREEHOLD NJ
07728-2286
US

IV. Provider business mailing address

31 E MAIN ST
FREEHOLD NJ
07728-2286
US

V. Phone/Fax

Practice location:
  • Phone: 732-761-1234
  • Fax: 732-761-1233
Mailing address:
  • Phone: 732-761-1234
  • Fax: 732-761-1233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5636
License Number StateNJ

VIII. Authorized Official

Name: MR. RICHARD B STRAUSS
Title or Position: PRESIDENT
Credential: REG. PHARM.
Phone: 732-761-1234