NPI | 1114999042 |
---|---|
Doing Business As | MAYFAIR DRUG STORE |
Entity Type | Organization |
Authorized Contact | MICHAEL PRISTAS Pharmacist 215-338-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481504) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-02-04 |
Last Update Date | 2012-01-23 |