| NPI | 1932231537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY BLISS CEO 856-832-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00316800) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: NJ 28RS00316800) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-11-17 |