| NPI | 1366527657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA PORTELA Owner 201-867-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00542500) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2021-11-16 |