| NPI | 1508196692 |
|---|---|
| Doing Business As | HIAWATHA PHARMACY DEPT. |
| Entity Type | Organization |
| Authorized Contact | ATTA REHMAN Pharmacist In Charge 862-600-7856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00700900) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2016-02-18 |