| NPI | 1962813089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE L CHATMON Pharmacy Owner 201-437-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |