| NPI | 1568513349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG GOLDMAN Pres 275-752-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA PP415544L) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |