| NPI | 1275054967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIS BRAM Owner 732-720-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA05733400) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |