| NPI | 1013565332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY CHEULKAR COO 609-410-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2021-01-18 |