| NPI | 1477116192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST COTILUS Pharmacy Supervisor 215-890-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-22 |