| NPI | 1811477342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND HAWASH Pharmacist In Charge 201-447-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2021-01-19 |