| NPI | 1124881156 |
|---|---|
| Doing Business As | FORMULA RX |
| Entity Type | Organization |
| Authorized Contact | LISETTE DEVIA Pharmacist In Charge 908-447-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-03-07 |