| NPI | 1932659240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIF MALEK Owner 609-703-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA07395700) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-11-21 |