=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447387188
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | M & R DRUGSTORE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2 RAMTOWN GREENVILLE RD
-----------------------------------------------------
City | HOWELL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07731-2762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-785-9711
-----------------------------------------------------
Fax | 732-785-1543
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 RAMTOWN GREENVILLE RD
-----------------------------------------------------
City | HOWELL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07731-2762
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-785-9711
-----------------------------------------------------
Fax | 732-785-1543
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER PHARMACIST IN CHARGE
-----------------------------------------------------
Name | MRS. MONA SALAMA
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 732-785-9711
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 28RS00562300
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------