| NPI | 1306383922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS OLEGARIO Member 412-561-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD419166) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |