| NPI | 1497837694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G MILLER President 908-852-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 333600000X Pharmacy (Licence: NJ 28RS00616900) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00616900) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |