NPI | 1083051205 |
---|---|
Doing Business As | DIVERSIFIED SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHN WALKER COO 908-931-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MA DS89871) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2014-09-30 |