| NPI | 1407922164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GRANGER Pharmacy Supervisor 610-678-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP415171L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2010-11-09 |