NPI | 1619380979 |
---|---|
Entity Type | Organization |
Authorized Contact | SELINA XING Owner/Physian 302-384-7439 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: DE c10006679) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2014-06-04 |