| NPI | 1508520024 |
|---|---|
| Doing Business As | NORTHEAST WELLNESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | G CHIDINMA-O. Pharmacist In Charge 973-881-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care |
| Enumeration Date | 2021-10-30 |
| Last Update Date | 2021-10-30 |