| NPI | 1417767765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY BOLOS PIC 973-344-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |