| NPI | 1225189202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANA HOFF Controller 908-389-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KS 210341) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-01-07 |