| NPI | 1942821517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP SURE PIC 484-469-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-02-07 |