| NPI | 1093207292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY MIKHAIL Pharmacist In Charge 973-742-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28rs00764600) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2019-04-09 |