| NPI | 1033572805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIGNA AFFRONTI Licensing 602-892-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00748300) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2018-01-18 |