| NPI | 1467708586 |
|---|---|
| Doing Business As | GOODLARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KONECNY Pharm D, CFO 732-580-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000000324) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2021-06-29 |