| NPI | 1073171906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC VALENTINE VP Clinical Supply Services 732-537-6106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |