| NPI | 1962409532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYAK GUPTA PIC 201-568-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00354100) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2015-03-23 |