| NPI | 1437694395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY GLEIMER Managing Member 856-663-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MB03814800) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |