NPI | 1649626003 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT LEGOWSKI Operations 609-703-5097 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA06025200) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2016-05-04 |