| NPI | 1144205733 |
|---|---|
| Doing Business As | DRUG FAIR OF LINCOLN PARK |
| Entity Type | Organization |
| Authorized Contact | BARRIE LEVINE V.P. Pharmacy 732-748-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 5703) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-11-23 |