| NPI | 1790063238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LAWRENCE MCDANIEL President/CEO 732-919-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2019-04-18 |