MEDICARE: RPJMR PHARMACY 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	28RS00651800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2147978	OTHER		PK

General Provider Information

NPI Number	:	1457444887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RPJMR PHARMACY INC

Provider Business Mailing Address
First Line	:	310 RIDGE RD
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3613
Country	:	US
Telephone Number	:	201-785-9500
Fax Number	:	201-785-9600

Provider Business Practice Location Address
First Line	:	310 RIDGE RD
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3613
Country	:	US
Telephone Number	:	201-785-9500
Fax Number	:	201-785-9600

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT ANNICHARICO
Credential	:
Telephone Number	:	201-785-9500

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	10/06/2014

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Directions to “RPJMR PHARMACY INC ” Practice Location

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