| NPI | 1356789051 |
|---|---|
| Doing Business As | OLDE PHILLY PHARMACY - FISHTOWN |
| Entity Type | Organization |
| Authorized Contact | JAMES CIRILLO President 609-560-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482381) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2016-09-01 |