| NPI | 1164826962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE LAPHAUN CHATMON Owner 347-785-4936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NJ 28RS00733800) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |