| NPI | 1093702946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCWILLIAMS Owner 570-275-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP410330L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-08-31 |