| NPI | 1962757864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DIPISA Pharmacist 201-261-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28RS00720200) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |