| NPI | 1811359391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANA HOFF Controller 908-389-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MA DS90044) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-12-20 |