| NPI | 1558451427 |
|---|---|
| Doing Business As | 15W PHARMACY-NEWARK |
| Entity Type | Organization |
| Authorized Contact | DONNA M MCCANN Reimbursement Director 732-346-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00581200) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NJ 28RS00581200) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS000581200) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NJ 28RS00581200) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |