| NPI | 1669542197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURI SOROCHKIN Supervising Pharmacist 215-468-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA PP412224L) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-03-07 |