| NPI | 1760731525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRABHAVATHI VK MADDULA President 732-613-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |