| NPI | 1396126413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE VANGELAS Owner 201-819-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2016-04-07 |