| NPI | 1972544302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA GARCIA Rph In Charge 201-438-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00602800) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-01-11 |