Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Oct 20, 2009
License(s)
RP438111 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 111 MILL CREEK CIR | Dothan, AL 36305-9365 | |
| LOCATION | 2250 HICKORY RD SUITE 240 | Plymouth Meeting, PA 19462-1047 | 610-834-1122 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.