MEDICARE: GARY SCHOCK

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
1	183500000X	Pharmacist	28RI01240300	NJ

General Provider Information

NPI Number	:	1144535188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY SCHOCK

Provider Business Mailing Address
First Line	:	1147 COOPER ST
Second Line	:
City	:	EDGEWATER PARK
State	:	NJ
Zip	:	08010-2558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1147 COOPER ST
Second Line	:
City	:	EDGEWATER PARK
State	:	NJ
Zip	:	08010-2558
Country	:	US
Telephone Number	:	609-877-0013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2010
Last Update Date	:	03/15/2026

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Directions to “ GARY SCHOCK ” Practice Location

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