| NPI | 1669902102 |
|---|---|
| Doing Business As | MODERN MEDICINE RX |
| Entity Type | Organization |
| Authorized Contact | KLARA REIZIS Owner 201-420-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00756700) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |