| NPI | 1477095172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CHARNETSKI Senior Pharmacy Manager 570-262-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2023-11-02 |