| NPI | 1780201434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URMIL SHAH VP 848-667-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-06-29 |