| NPI | 1376547398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS G ALLEN President 570-342-8219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP410051L) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA RP024515L) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-02-15 |