| NPI | 1275566473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID FRIED CEO 732-349-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00211800) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-12-18 |