| NPI | 1134647423 |
|---|---|
| Doing Business As | SMALL TOWN PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | BRETT KEENAN Owner/AO 856-905-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482766) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-02-04 |