| NPI | 1306046800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA GADKARI Third Party/Pharmacy Systems Admin 732-521-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-08-20 |