NPI | 1508862715 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH T DEGRABA Pharmacy Mgr/Vice President 570-655-1911 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP415505L) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2020-08-22 |