| NPI | 1538334149 |
|---|---|
| Doing Business As | FAIRDALE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH RALSTON Manager 215-630-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481844) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2023-10-15 |