| NPI | 1023583887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHULKUMAR MANUBHAI PATEL Pharmacy In Charge/Owner 732-485-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |