NPI | 1124186952 |
---|---|
Former Legal Business Name | DIAMONDBACK DRUGS |
Entity Type | Organization |
Authorized Contact | ALEJANDRO BERNAL-ANGEL Chief Executive Officer, Secretary 973-307-7154 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y006134) |
Additional Taxonomies | 333600000X Pharmacy (Licence: PA NP000022) |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-12-05 |
Last Update Date | 2025-05-27 |