| NPI | 1790809119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG BEDA Pharmacist In Charge 201-945-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00637600) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-03-07 |