| NPI | 1255495438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A DWECK President 856-596-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NJ RS00639600) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NJ RS00639600) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ RS00639600) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ RS00639600) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NJ RS00639600) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2023-03-07 |