NPI | 1578678355 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA FIGUEROA RIVERA Third Party Administrator 732-521-8439 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: NJ RS004405) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-08-20 |
Last Update Date | 2010-08-18 |