| NPI | 1053420596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ZOREK Director 717-975-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID ID1219CP) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-04-04 |