| NPI | 1871638221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP414529L) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2021-04-30 |