NPI | 1366276016 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS TANCREDI Member 856-278-1647 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2024-08-27 |
Last Update Date | 2024-08-27 |