| NPI | 1467775494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FIGUEROA-RIVERA Third Party Administrator 732-521-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCY0002170) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2018-07-19 |