| NPI | 1154419091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W HANNA President/CEO/CFO/Sec./Dir. 201-377-8319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY14564) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-11-29 |