| NPI | 1316685332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA PATEL Ambulatory Pharmacy Coordinator 201-458-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-06-14 |