NPI | 1548759095 |
---|---|
Entity Type | Organization |
Authorized Contact | MALLIKA KOPALLE Owner 732-678-8459 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-05-09 |
Last Update Date | 2018-05-09 |