| NPI | 1336672815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C WEHRLI Pharmacist In Charge 724-891-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PA RP445113) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |