NPI | 1255720710 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BANKER CEO 215-850-1949 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA 8000002643) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2015-01-21 |
Last Update Date | 2015-01-21 |