| NPI | 1023389590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD STEVEN GLAZER Pres 201-599-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 1) |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2012-01-15 |