| NPI | 1598023400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYABODE LEAH ADEWALE Pharmacist 215-877-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482266) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2025-01-08 |