| NPI | 1205566155 |
|---|---|
| Doing Business As | MID CONCOURSE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAURENCE D MENSAH Pharmacist 732-857-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |