| NPI | 1699749739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEP DESAI Owner 732-535-1094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 025947) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-08-14 |