| NPI | 1033396916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEANE Owner 908-461-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00677100) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2016-10-17 |