| NPI | 1225580194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KRACHMAN Managing Member 609-703-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA05716700) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-11-21 |