| NPI | 1437423456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEDHAR VAJINEPALLI Managing Member 201-284-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: NJ 28RS00718700) | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2021-12-03 |