| NPI | 1245018043 |
|---|---|
| Doing Business As | PRESTIGE SPECIALTY PHARMACY 103 |
| Entity Type | Organization |
| Authorized Contact | ASMA M HASSAN Agent 610-390-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-06-15 |