| NPI | 1568513349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG GOLDMAN Pres 275-752-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy (Licence: PA PP415544L) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-09-11 |