| NPI | 1619195104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIAN ABRAHAM Pharmacy Manager 215-386-4708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: PA pp418375l) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-03-13 |