NPI | 1770137267 |
---|---|
Doing Business As | SUMMER AVENUE PHARMACY |
Entity Type | Organization |
Authorized Contact | SMITHA DASARI President 908-577-6989 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-08-01 |
Last Update Date | 2019-08-01 |