NPI | 1518313832 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT LEGOWSKI Operations 609-703-5097 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WV 25285) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2016-05-05 |