| NPI | 1144774936 |
|---|---|
| Former Legal Business Name | WISDOM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAJ PATEL President 201-451-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00542700) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |