| NPI | 1780011445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P SHIVERS President/CEO 484-266-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA None required) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2016-01-21 |