| NPI | 1790061547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUANKHOA NGUYEN Pharmacist 215-235-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482179) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2022-02-14 |