| NPI | 1629470794 |
|---|---|
| Doing Business As | 11TH & WALNUT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUBHASH B PATEL Owner 215-603-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482509) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |