| NPI | 1790233823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PREZIOSO Owner 609-703-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH 36.003502) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2017-01-05 |