| NPI | 1154717767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAILEEN DEMATERA Pharmacist In Charge 201-436-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00294000) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |