| NPI | 1629457734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERCY DHAMODIWALA Manager 302-947-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DE A3-0000985) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2020-08-07 |