| NPI | 1396880035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN E BAKUNAS Owner 201-945-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00615200) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NJ 28R00615200) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-10-19 |