| NPI | 1336485283 |
|---|---|
| Doing Business As | LIGHT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AARON KING Owner/PIC 856-417-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28RS00721200) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00721200) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |