| NPI | 1700204187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GAJERA Pharmacist 800-447-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 28RI03474000) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |