| NPI | 1861790040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN W BLOOMFIELD Pharmacist In Charge 201-766-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ RS00710900) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2014-08-15 |