| NPI | 1114423365 |
|---|---|
| Former Legal Business Name | MODERN HEALTH PHARMACY OF BIRMINGHAM |
| Entity Type | Organization |
| Authorized Contact | NIKKI BANIEWICZ General Counsel 973-869-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2020-10-30 |