| NPI | 1023173549 |
|---|---|
| Doing Business As | FARMACIA SAN JOSE |
| Entity Type | Organization |
| Authorized Contact | RAUL LUCIO MAZON Pharmacist 201-864-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ RS00573600) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |