| NPI | 1487424669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE MARTINEZ Pharmacist In Charge 201-940-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |