| NPI | 1033578505 |
|---|---|
| Doing Business As | TACONY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KOFI GBOMITA Owner 267-686-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482617) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2022-03-03 |