NPI | 1659396208 |
---|---|
Doing Business As | FARMER JACK PHARMACY |
Entity Type | Organization |
Authorized Contact | SUSAN KIJOWSKI Pharmacy Specialist 201-571-8326 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301004546) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-08-22 |