| NPI | 1053328161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH CARACCIOLO President 215-465-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP412920L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP412920L) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-01-08 |