| NPI | 1790295616 |
|---|---|
| Doing Business As | BLACK OAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN RUDITSER Vice President 973-837-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00759100) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-07-19 |