| NPI | 1003228156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMADOU BALLO Manager 215-917-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P06387) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2015-01-21 |