| NPI | 1477852838 |
|---|---|
| Doing Business As | FIESTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ESLAM MOHAMED Pharmacist / Owner 732-762-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.60219353) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2016-08-10 |