| NPI | 1518064377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D KIJOWSKI Pharmacy Specialist 201-571-8326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 013580) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 013580) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-11-20 |