| NPI | 1063923571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDEVI VAJINEPALLI President 973-539-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00399600) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |