| NPI | 1215319991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VU HUYNH Owner 856-727-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00745900) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2018-07-19 |