| NPI | 1821013384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KIJOWSKI Manager, Regulatory Compliance 201-571-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 023501) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 023501) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-10-06 |