NPI | 1023779212 |
---|---|
Former Legal Business Name | WICKLIFFE LLC |
Doing Business As | WICKLIFFE VETERINARY PHARMACY |
Entity Type | Organization |
Authorized Contact | ALEJANDRO BERNAL-ANGEL Chief Executive Officer, Secretary 973-307-7154 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
Enumeration Date | 2022-01-10 |
Last Update Date | 2025-05-27 |