| NPI | 1598828873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Chief Compliance Officer 484-246-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6569) |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-01-22 |