NPI | 1467470484 |
---|---|
Doing Business As | KING BOULEVARD PHARMACY |
Entity Type | Organization |
Authorized Contact | SARFARAZ AHMED Rph 609-234-0567 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00706400) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-17 |
Last Update Date | 2011-04-19 |