Prn Physician Recommended Nutriceuticals, LLC
NPI #1831457183 in Plymouth Meeting, Pennsylvania
Provider Information
- NPI Number
- 1831457183
- Entity Type
- Organization
- Organization Name
- Prn Physician Recommended Nutriceuticals, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 502 W GERMANTOWN PIKE
- Address 2
- SUITE 610
- City
- Plymouth Meeting
- State
- Pennsylvania
- ZIP Code
- 19462-1309
- Phone
- (610) 862-0182
Authorized Official
- Name
- DR. MICHAEL B GROSS, M.D.
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (610) 862-0182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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