| NPI | 1346366879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A EVANS Director Retail And Mail Order 570-271-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: PA PP481700) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2025-08-27 |