| NPI | 1073928057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVANG N MODI Pharmacy Manager 201-993-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH27315) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-09-06 |