| NPI | 1770827420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON VIZIROV Pharmacy Manager 215-331-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482328) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-20 |