| NPI | 1528474665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA FRICKE Pharmacist 201-746-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00734600) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NJ 28RS00734600) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-24 |