| NPI | 1144306333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T. PENDER Director Of Pharmaceutical Services 215-685-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: PA HP418356L) |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-03-07 |