| NPI | 1255712527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIL FAROOQUI Pharmacist In Charge 908-344-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00741200) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00741200) |
| 333600000X Pharmacy (Licence: NJ 28RS00741200) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 28RS00741200) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |