| NPI | 1063935187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNWON SO Pharmacist Manager 215-455-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP411883L) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-07-21 |