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Stafford Medical Pa
Non-Pharmacy Dispensing Site in Manahawkin, New Jersey
NPI 1093052102

Stafford Medical Pa is a Non-Pharmacy Dispensing Site based in San Diego, NJ. Stafford Medical Pa practices in Manahawkin, NJ. The NPI Number for Stafford Medical Pa is 1093052102 and holds a License No. 25MA066536 (New Jersey).

The current practice location address for Stafford Medical Pa is 1364 Route 72 W, Manahawkin, NJ and can be reached out via phone at 609-597-3416.

Location: 1364 Route 72 W, Manahawkin, NJ, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093052102
Provider Name
Stafford Medical Pa
Credential
Provider Entity Type
Organization
Address
1364 Route 72 W, Manahawkin, NJ, 92121-1705
Phone Number
609-597-3416
Fax Number
Provider Enumeration Date
01/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1364 Route 72 W
City
Manahawkin
State
New Jersey
Zip
08050-2485
Phone Number
609-597-3416
Fax Number
person
Provider Business Mailing Address Details
Address
1364 Route 72 W
City
Manahawkin
State
New Jersey
Zip
08050-2485
Phone Number
609-597-3416
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
25MA066536 (New Jersey)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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