| NPI | 1154591485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA P PATEL Pharmacist 973-926-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00429100) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2012-11-06 |