| NPI | 1942580758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BUCCO PIC/Managing Member 973-352-7394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00713600) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2017-04-04 |