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 |