NPI | 1134905730 |
---|---|
Former Legal Business Name | MEDMASTERS PHARMACY 2 LLC |
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 | 2024-12-24 |