| NPI | 1598009383 |
|---|---|
| Doing Business As | MEDICINE MAN PHARMACY & COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | PANKIT SUTARIA President 201-942-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00722900) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2024-10-02 |