| NPI | 1710996004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP TRACHTENBERG President/Pharmacist In Charge 856-678-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2025-09-11 |