| NPI | 1134905730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASMA MOUSTAFA MOHAMED HASSAN Agent 610-390-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |