| NPI | 1619148632 |
|---|---|
| Doing Business As | OLDE MEDFORD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LUDWIKOWSKI Owner 609-654-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00679100) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2017-02-20 |