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
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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