| NPI | 1942350871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHED S BASTAWROS Pharmacist In Charge 732-477-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28rs00642700) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |