| NPI | 1144566225 |
|---|---|
| Doing Business As | PHILLY PHARMACY II |
| Entity Type | Organization |
| Authorized Contact | MARK LAWSON President 267-979-3948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP482144) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2013-01-07 |