| NPI | 1720033020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH KING Director Of Reimbursement 570-522-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA PP415550L) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-11-20 |