Provider Demographics
NPI:1962262899
Name:WINSLOW PHARMACY
Entity type:Organization
Organization Name:WINSLOW PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGYEMANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:856-422-9050
Mailing Address - Street 1:510 WILLIAMSTOWN RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1780
Mailing Address - Country:US
Mailing Address - Phone:856-422-9050
Mailing Address - Fax:
Practice Address - Street 1:510 WILLIAMSTOWN RD STE 3
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1780
Practice Address - Country:US
Practice Address - Phone:856-422-9050
Practice Address - Fax:888-626-5735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy