| NPI | 1851838999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRINDA NAVALGUND Member 412-561-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD420107) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |