| NPI | 1568551257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LUPANO Consultant/Director 551-996-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00645600) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-03-06 |