| NPI | 1033214721 |
|---|---|
| Doing Business As | WAYNE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LEONARDO ORTEGA Pharmacist 973-696-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RS00632700) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-03-28 |