| NPI | 1073165403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOK PATEL Member LLC 732-745-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |