| NPI | 1548326291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA SHAFIR Pharmacist 201-797-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28rs00586600) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28rs00586600) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28rs00586600) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28rs00586600) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 28rs00586600) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-07-12 |