| NPI | 1649443938 |
|---|---|
| Doing Business As | TRADITIONAL APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | VINCENT CANZANESE President 484-461-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481812) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2010-06-30 |