| NPI | 1700336450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT PADULA Managing Member 856-797-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ MB67388) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-11-21 |