| NPI | 1689957219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIAH JAYE WEISSMAN Owner 201-575-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ RI033093) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054339) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |