| NPI | 1477647337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JARDINA CEO 732-692-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NJ 28RS00545700) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NJ 28RS00545700) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28RS00545700) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NJ 28RS00545700) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-01-25 |