NPI | 1497050694 |
---|---|
Doing Business As | SOUTH BROAD PHARMACY |
Entity Type | Organization |
Authorized Contact | UMESH PATEL VP/Staff Rph 201-887-4405 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00709800) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2022-09-01 |