| NPI | 1972863587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABINA SEBASTIAN Owner 908-351-5768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NJ 28RS00719000) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00719000) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2014-01-21 |