| NPI | 1265065783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBIORIX MORA ESTEVEZ Owner 201-927-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2026-01-28 |