| NPI | 1811704273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY T COLASANTI Pharmacy Manager 973-985-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-10-22 |