| NPI | 1497288666 |
|---|---|
| Doing Business As | MAIN STREET SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANUP BORAWALA Owner 732-735-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NJ 28RS00755200) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2018-07-19 |