NPI | 1104127851 |
---|---|
Entity Type | Organization |
Authorized Contact | GANESH R BALU President 302-734-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: DE DEA BB6016403) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2010-11-11 |