| NPI | 1568827004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEA KRAVIL Administrative Assistant 856-786-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RI03711100) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |