| NPI | 1750399853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE A POMARICO President /Pharmacist 201-434-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00018400) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00018400) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NJ 28RS00018400) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NJ 28RS00018400) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2017-09-15 |