| NPI | 1306555602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE DELALI MENSAH Managing Member 732-857-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |