| NPI | 1326185182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF CLARKE Manager 215-632-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA 144573) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-04-29 |