| NPI | 1669814422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIN KIM Pharmacist 267-664-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA RP038381L) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |