Impala Pharmacy INC
NPI #1952777963 in Brookhaven, Pennsylvania
Provider Information
- NPI Number
- 1952777963
- Entity Type
- Organization
- Organization Name
- Impala Pharmacy INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Aug 13, 2015
- Last Updated
- Aug 13, 2015
Practice Location
- Address
- 11 RIDGE BLVD
- City
- Brookhaven
- State
- Pennsylvania
- ZIP Code
- 19015-2317
- Phone
- (484) 482-6274
Authorized Official
- Name
- MR. VINCENT CANZANESE, RPH
- Title
- PRESIDENT
- Phone
- (484) 482-6274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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