| NPI | 1962884544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA G WILLIAMS Member Manager 215-639-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482560) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-03-18 |