| NPI | 1992049126 |
|---|---|
| Doing Business As | MIGUEL'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VISWA PRAKASH VARMA MANTENA Owner 856-757-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00722700) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2024-09-27 |