| NPI | 1134179435 |
|---|---|
| Other Name | DEBALKO'S STANDARD DRUG |
| Entity Type | Organization |
| Authorized Contact | JOHN NICHOLAS DEBALKO President 570-929-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP412373L) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: PA PP412373L) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: PA PP412373L) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP412373L) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-03-07 |