| NPI | 1841609021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN K APPANA President 732-874-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |