| NPI | 1528505765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRALI PATEL Office Manager 908-370-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA OS006388E) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |