NPI | 1154362036 |
---|---|
Doing Business As | SUMMER AVENUE PHARMACY |
Entity Type | Organization |
Authorized Contact | SMITHA DASARI President 973-481-3388 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00706100) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-09 |
Last Update Date | 2023-02-09 |