| NPI | 1790826105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Chief Compliance Officer 842-469-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NJ 28RS00625900) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2025-03-21 |