=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487710364
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WALD DRUGS 2 FLEMINGTON
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/28/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37 REAVILLE AVE HUNTERDON SC
-----------------------------------------------------
City | FLEMINGTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08822-1714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-788-3780
-----------------------------------------------------
Fax | 908-788-7638
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 37 REAVILLE AVE HUNTERDON SC
-----------------------------------------------------
City | FLEMINGTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08822-1714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARM
-----------------------------------------------------
Name | MICHAEL WOLF
-----------------------------------------------------
Credential | PHARMD AND PHD
-----------------------------------------------------
Telephone | 908-782-2224
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | 28RS00524700
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------