| NPI | 1538557178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADJE KOFFI CEO 862-237-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00737900) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2016-01-04 |