| NPI | 1700186004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KWAME OPPONG Pharmacy Manager 215-365-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482087) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |