NPI | 1164016457 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE SHERMAN Owner 717-786-8715 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2021-02-26 |
Last Update Date | 2025-09-10 |