| NPI | 1861416133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK FRATANGELO CEO 732-255-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NJ 28RS00342900) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |