Whalio Doctors

NPI 1538692462

Probene Q, LLC

Organisation Community/Retail Pharmacy Ridgefield Park, NJ

Practice location

Address
105 Challenger Rd STE 401, Ridgefield Park, NJ 07660-2101
Phone
(201) 225-0057
Fax
(201) 225-0067

Authorised official

Name
Won Kyu Shon
Title
Pic/President
Phone
(201) 916-4899

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 28RS00755300 (NJ)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1538692462
Entity type
Organization
NPI issued
7 Apr 2017
Record last updated
23 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.