NPI | 1255875969 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARA TAN AO 862-267-0385 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00753500) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2017-05-25 |