| NPI | 1225046501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CONERTY Owner Pharmacist 732-367-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ RS00614000) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-03-07 |