| NPI | 1922238781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NGUYEN Retail Pharmacy Manager 215-537-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP481912) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2017-04-17 |