| NPI | 1194126128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUIL SHAMILOV Owner 215-437-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP482510) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP482510) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2025-07-08 |