| NPI | 1568571370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HENNEBERRY Owner 215-765-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP410745l) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |