Jackson Village Pharmacy LLC
NPI #1164393401 in Jackson, New Jersey
Provider Information
- NPI Number
- 1164393401
- Entity Type
- Organization
- Organization Name
- Jackson Village Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 17, 2025
- Last Updated
- Sep 17, 2025
Practice Location
- Address
- 27 S COOKS BRIDGE RD STE 1-1
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-2460
- Phone
- (732) 994-7387
Authorized Official
- Name
- GABRIEL OUELLETTE
- Title
- AUTHORIZED AGENT
- Phone
- (732) 994-7387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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