| NPI | 1538119524 |
|---|---|
| Doing Business As | DRUG FAIR OF WAYNE 51 |
| Entity Type | Organization |
| Authorized Contact | BARRIE MARTIN LEVINE V.P. Pharmacy 732-748-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 5768) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-11-23 |