| NPI | 1679662076 |
|---|---|
| Doing Business As | PARKWOOD STREET ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAVIN D PATEL Managing Partner 215-876-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP411780L) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-01-19 |