| NPI | 1144385089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON FARRELL Director, Third Party 717-240-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ RS00668000) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ RS00668000) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2017-10-30 |