| NPI | 1114432937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY MARTINO Office Manager 856-685-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NJ 28RS00613600) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00613600) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2020-10-05 |