| NPI | 1770349516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUMADHAV CHALUVADI Member 973-885-2793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |