| NPI | 1700653201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXABAHEN MAHENDRABHAI PATEL Supervising Pharmacist 201-208-1639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |