| NPI | 1639625635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ZOREK Sr Manager Provider Enrollment 717-975-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2017-04-18 |