| NPI | 1215254305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVIS E VANTERPOOL Pharmacy Owner 215-668-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP481991) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |