NPI | 1306088455 |
---|---|
Doing Business As | J&J STATE STREET PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMES DEMICCO Pharmacist In Charge 201-981-1144 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00688900) |
Enumeration Date | 2009-04-02 |
Last Update Date | 2010-10-27 |