| NPI | 1346258589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C KIM Owner/Pharmacist 201-333-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00367400) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00367400) |
| 183500000X Pharmacist (Licence: NJ 28RI01823600) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-01-08 |