Olde Medford Pharmacy
LBN: One Pharmacy Llc
Olde Medford Pharmacy is an health care organization with primary practice located at 639 Stokes Rd Ste 101, Medford NJ 08055-3003. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
One Pharmacy Llc can be contacted via phone (609) 654-6884, or through Ludwikowski, Michael via phone (609) 654-6884.
Contact Information
Primary practice address
639 Stokes Rd Ste 101
Medford NJ 08055-3003
Phone: (609) 654-6884
Fax: (609) 654-6887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28RS00679100 | New Jersey |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1619148632 |
|---|---|
| LBN Legal business name | One Pharmacy Llc |
| DBA Doing business as | Olde Medford Pharmacy |
| Authorized official | Ludwikowski, Michael RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2008 |
| Last updated | Feb 20th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619148632 | NPPES |
| Other | 2056253 | PK |
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