| NPI | 1265623003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ZOREK Mang Onl Adj 717-975-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY48745) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY-48745) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2011-10-25 |