| NPI | 1477904449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISSA DEVENNY Pharmacy Manager 215-471-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: PA PP482659) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-05-21 |