| 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 |