| NPI | 1053855601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MAGAZINER Owner 732-297-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25ma05340000) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |