| NPI | 1336134725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT JOHN PECK President 570-655-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP410767L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP410767L) |
| 183500000X Pharmacist (Licence: PA PP410767L) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2010-08-16 |