| NPI | 1013337591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URMIL SHAH VP 848-667-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-09-30 |