NPI | 1942341185 |
---|---|
Doing Business As | PENNCARE - ZUBROW, KERSHBAUM, COHEN |
Entity Type | Organization |
Authorized Contact | KENNY HEINE Director Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD010417E) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2009-11-04 |