| NPI | 1669985404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FIGUEROA-RIVERA Third Party Administrator 732-521-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482771) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2025-08-13 |