| NPI | 1326212291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KAMENETZ PIC 973-646-7564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NJ 28RS00629400) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |