| NPI | 1275939746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN K CHENNA President 551-998-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00737000) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2025-05-22 |