| NPI | 1720383920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLALEKAN ABIFARIN Pharmacy Manager/Co Owner 215-242-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482089) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA PP482089) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2012-04-26 |