| NPI | 1962557645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA GADKARI Third Party Administrator 732-521-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ RS006553000) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |