| NPI | 1144617937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA GUMMEL Chief Financial Officer 609-924-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA07729700) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |