| NPI | 1396172524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIKANTH POPURI Managing Member 717-779-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCY.0002208) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2016-12-05 |