| NPI | 1619987419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M ZOREK Maanger Online Adjudication 717-975-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301004483) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301004483) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-09-29 |