| NPI | 1750699179 |
|---|---|
| Doing Business As | EVOLUTION PHARMACY SERVICE INC |
| Entity Type | Organization |
| Authorized Contact | JEROME SAUTER President 570-534-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA pp482045) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2017-01-17 |