| NPI | 1639616717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO RODRIGUEZ President 215-442-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-03-07 |