| NPI | 1790836559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP M LUBAROFF President 215-225-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP410568L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA PP410568L) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-09-02 |