| NPI | 1033102967 |
|---|---|
| Doing Business As | FASTVAX PHARMACY AND VACCINE CENTER |
| Entity Type | Organization |
| Authorized Contact | AMBER THOMPSON General Manager 215-996-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP413108L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP413108L) |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2011-02-16 |