| NPI | 1609949544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARMEN SPENILLO Pharmacist In Charge Owner 973-427-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00372200) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-01-14 |