| NPI | 1003968322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA D HEBELER Pharmacist In Charge 732-364-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28rs00581600) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |