| NPI | 1063108876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHITA DHADUK Owner/Pharmacy Manager 201-214-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |