| NPI | 1104015395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAWALE OKE PIC 609-348-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ RS00674700) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |