| NPI | 1043741663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL KRACHMAN Member 609-645-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MB05159800) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |