| NPI | 1770011371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVESH GAJERA Owner 973-350-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00756500) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2018-06-16 |