| NPI | 1285765388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA RICHBERG WARREN Pharmacy Manager 215-843-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP415271L) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |