NPI | 1679616692 |
---|---|
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: NJ RS004377) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2010-08-12 |