| NPI | 1811259716 |
|---|---|
| Doing Business As | GOETHALS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRABODH AJBANI Shareholder 908-527-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00718500) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2016-09-30 |