| NPI | 1154336790 |
|---|---|
| Doing Business As | BALD EAGLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY GUERCIO Manager 973-728-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NJ 28RI02690900) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-06-07 |