| NPI | 1285159152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MCNICHOLAS COO, VP, Sec., Treasurer And CFO 732-905-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IN 60006622A) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: IN 60006622A) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IN 60006622A) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-08-24 |