| NPI | 1750176780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE FATTAL Pharmacist In Charge 973-333-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-07-15 |