| NPI | 1124378278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA BOULOS Pharmacist 908-930-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: NY 055828) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |