| NPI | 1689028631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARROD MACKLIN President/Pharmacist 215-410-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP482639) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-05-13 |