| NPI | 1558805135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARA KALLIBJIAN Onwer 609-703-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH 36-002424) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |