| NPI | 1043691694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VUONG Pharmacy Manager 856-267-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28RS00740200) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2025-07-28 |