| NPI | 1275259863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TRUONG Owner/Pharmacist In Charge 732-506-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-06-01 |