| NPI | 1538144787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO ORESTES RODRIGUEZ President 973-742-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28rs00566500) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00566500) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28RS00566500) | |
| 333600000X Pharmacy (Licence: NJ 28rs00566500) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2010-01-25 |