| NPI | 1487717104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TRIFILLIS Pharmacist In Charge 302-645-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: DE A30000734) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-09-19 |