| NPI | 1831608157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KEYLIN President 732-542-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00626900) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00626900) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-07-21 |