| NPI | 1336287465 |
|---|---|
| Doing Business As | SOUTH RIVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHRAF BASTA Pharmacist 732-257-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28rs00531800) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-06-16 |