| NPI | 1700292380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRILL JORDAN President 201-510-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00734200) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2024-04-21 |