| NPI | 1407839400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OSTROW Owner 215-425-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP413813L) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-01-17 |