| NPI | 1013055615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABOHENIA ZILLUR Pharmacist 201-991-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28rs00309800) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2019-10-11 |