| NPI | 1548281512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE BARNARD Owner 973-747-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 40000009) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2021-07-09 |