| NPI | 1003330085 |
|---|---|
| Doing Business As | 29 TH ST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA EZEIFE Member 215-309-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |