| NPI | 1942750039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS ANTEBI Owner 609-645-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA5298600) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-12-02 |