| NPI | 1740226836 |
|---|---|
| Doing Business As | MEDFORD LEAS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FRANK SIMMONS Phcy Dir 609-654-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00192000) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2016-07-20 |