| NPI | 1083450126 |
|---|---|
| Other Name | PENN INVESTIGATIONAL DRUG SERVICE CENTER |
| Entity Type | Organization |
| Authorized Contact | REGINA CUNNINGHAM CEO 215-662-2186 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |