| NPI | 1275669103 |
|---|---|
| Doing Business As | PAVONIA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ATUL M SHAH Rph Manager 201-216-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-03-17 |