| NPI | 1477096410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ROSENTHAL Owner 732-833-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MD00240300) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |