| NPI | 1679167340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE WATTS Owner 732-239-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-11-23 |