| NPI | 1881787729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDY HERNANDEZ Pharmacist In Charge 201-869-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ rs00648200) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ rs00648200) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-03-19 |