| NPI | 1245730464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR TADROS Pharmacist In Charge 201-401-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00760000) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |