| NPI | 1679093744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR DHADUK Owner 201-916-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30671) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-11-30 |