MEDICARE: SMSPHARMACY LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1801140736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMSPHARMACY LLC

Provider Business Mailing Address
First Line	:	1463 FINNEGANS LANE
Second Line	:	UNIT 11
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1060
Country	:	US
Telephone Number	:	732-658-3922
Fax Number	:	732-658-3923

Provider Business Practice Location Address
First Line	:	1463 FINNEGANS LANE
Second Line	:	UNIT 11
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1060
Country	:	US
Telephone Number	:	732-658-3922
Fax Number	:	732-658-3923

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RAKESH LAXMIKANT RAJGANDHI
Credential	:	BS PHARMACY
Telephone Number	:	732-658-3922

Provider Enumeration Date	:	10/30/2012
Last Update Date	:	10/02/2013

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Directions to “SMSPHARMACY LLC ” Practice Location

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