| NPI | 1699153882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J URBAN Manager 267-687-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482552) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-07-04 |