| NPI | 1053737155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA UCHENNA ODOEMENE Owner 856-776-3128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00736200) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2022-05-13 |