| NPI | 1235140757 |
|---|---|
| Doing Business As | MEDICAL MALL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PARTHIV SHAH Owner 732-244-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00191200) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-10-03 |