| NPI | 1205129178 |
|---|---|
| Doing Business As | TUNKHANNOCK COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | PETER X KONICKI President 570-996-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: PA PP482108) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2023-03-07 |