| NPI | 1023053469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN SCOTT PISKADLO President 201-797-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS001207900) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2019-10-13 |