NPI | 1548396955 |
---|---|
Doing Business As | MAIN LINE PHARMACY |
Entity Type | Organization |
Authorized Contact | PAUL BURRICHTER Owner And President 610-658-8640 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP415726L) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-02-27 |
Last Update Date | 2008-06-19 |