| NPI | 1154834729 |
|---|---|
| Former Legal Business Name | FABIOS PHARMACY 2 LLC |
| Entity Type | Organization |
| Authorized Contact | NESTOR FABIO JAIME Owner 201-421-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |