| NPI | 1164828125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJANTHA BOMMAREDDY President 201-400-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033226) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2016-09-20 |