| NPI | 1730539891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN BROSKY Third Party Manager 724-378-5325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |