NPI | 1801067129 |
---|---|
Doing Business As | OAK LANE PHARMACY |
Entity Type | Organization |
Authorized Contact | JUANITA RATHFON Owner 215-924-9929 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP481792) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2008-03-14 |
Last Update Date | 2017-02-14 |