| NPI | 1295495679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBA NAIDU NAGELI Pharmacist In Charge 201-496-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |