| NPI | 1922375781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VERONICA CRUZ CAMACHO Pharmacist 973-373-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RI03249000) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-12-27 |