| NPI | 1770733693 |
|---|---|
| Doing Business As | SUPREME HEALTH |
| Entity Type | Organization |
| Authorized Contact | ALTON CHATMON President, Pharmacy Operations 609-598-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NJ 28RS00679300) |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2008-09-28 |