| NPI | 1720077795 |
|---|---|
| Doing Business As | WICKEPECKO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ABE MERMELSTEIN General Partner 732-776-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00644900) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2022-06-02 |