| NPI | 1407227457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KROLL Owner 215-755-0816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA PP482588) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2018-01-05 |