| NPI | 1508327016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTELLE LASEK PIC 973-323-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2020-09-10 |