| NPI | 1134528839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BERKOWITZ Doctor/Owner 215-947-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD036462-E) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2016-04-11 |