| NPI | 1053670588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYEZ ENVER Owner 732-595-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00718600) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2024-05-17 |