| NPI | 1962408419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL BERTOLINO Owner/Pharmacist 215-389-5917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA PP410177L) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2023-03-07 |