| NPI | 1225135155 |
|---|---|
| Doing Business As | COVERED BRIDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAJENDRAPRASAD VENIGALLA Secretary 856-429-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00707600) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-13 |