NPI | 1053786152 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN BOHMER Secretary 224-231-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NJ 28RS00749600) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
Enumeration Date | 2015-12-01 |
Last Update Date | 2024-01-22 |