| NPI | 1477375517 |
|---|---|
| Former Legal Business Name | LOS PRIMOS PHAMACY INC |
| Entity Type | Organization |
| Authorized Contact | ANGEL SANTOS Owner 732-956-4795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |