| NPI | 1891858411 |
|---|---|
| Doing Business As | BLUEGRASS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JULIA KAZAROV Owner 215-990-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP481659) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-01-16 |