| NPI | 1760101463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVANI SHETH Pharmacist, Compliance Officer 973-482-8220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |