| NPI | 1770920704 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD RIZWAN KHAN Owner 201-200-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00725900) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-08-21 |