NPI | 1255443263 |
---|---|
Doing Business As | KEYSTONE PROFESSIONAL PHARMACY |
Entity Type | Organization |
Authorized Contact | WILLIAM VINSKO Owner 570-970-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA PP415509L) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-03-30 |