| NPI | 1174759187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEJASVI PATEL Pharmacist Manager 732-418-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00693200) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2013-05-13 |