| NPI | 1083717482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOSEPH PARISI Owner 973-483-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00225300) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2017-09-11 |