| NPI | 1962161059 |
|---|---|
| Doing Business As | FORD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUNNY OMESIETE Manager 215-433-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |