| NPI | 1720358344 |
|---|---|
| Doing Business As | DEPIETROS PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | THOMAS DEPIETRO Pharmacy Manager/Owner 570-209-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482235) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-10-30 |