| NPI | 1063803724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE TAING Pharmacy Manager 215-426-0200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2019-05-02 |