| NPI | 1740780980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR TAMMOUS Owner 973-809-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00760400) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-04-30 |