| NPI | 1013932664 |
|---|---|
| Doing Business As | FARMER JACK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSAN KIJOWSKI Pharmacy Specialist 201-571-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301004541) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |