| NPI | 1881691558 |
|---|---|
| Doing Business As | PERSONAL SUPPORT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID HATOOKA President 215-464-7304 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 333600000X Pharmacy (Licence: PA PP481409) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2018-08-08 |