| NPI | 1588114672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHER YANNI Owner 609-371-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA08105700) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2017-02-06 |