| NPI | 1760851265 |
|---|---|
| Doing Business As | SMALL TOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRETT KEENAN Owner/Pharmacy Manager/PIC/AO 856-905-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482600) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2022-05-23 |