| NPI | 1306237698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CASTILLO PANGILINAN Manager 201-388-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00738600) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-06-15 |