| NPI | 1821488651 |
|---|---|
| Doing Business As | AQUAVITA |
| Entity Type | Organization |
| Authorized Contact | FADY BISHAI Owner 732-801-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00737700) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |