| NPI | 1336286384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KARL BOETTCHER COO 856-669-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NJ 28R500454200) |
| Additional Taxonomies | 251E00000X Home Health |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28R500454200) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-09-08 |