| NPI | 1215341623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAJAL SHAH Pharmacy Manager 732-688-5326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 183500000x) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |