| NPI | 1942699228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX SELIGSON Managing Owner 610-416-6579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 114107) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2016-01-21 |