NPI | 1467561753 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ZOREK Manager Online Adjudication 717-975-5937 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 7249) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-01-16 |