Mystic Pharmacy INC

NPI #1083752216 in Little Egg Harbor, New Jersey

Provider Information

NPI Number: 1083752216
Entity Type: Organization
Organization Name: Mystic Pharmacy INC
Primary Specialty: Pharmacy
Enumeration Date: Feb 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 972 RADIO RD
City: Little Egg Harbor
State: New Jersey
ZIP Code: 08087
Phone: (609) 296-0934

Authorized Official

Name: MR. JOHN MICHAEL WARD, RP
Title: PHARMACIST IN CHARGE
Phone: (609) 296-0934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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