| NPI | 1063850626 |
|---|---|
| Doing Business As | LMA WILLINGBORO TOWN CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA04258100) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2015-06-05 |