| NPI | 1750712501 |
|---|---|
| Doing Business As | VISTA SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MEYYAPPAN RAMANATHAN Director Of Pharmacy 570-341-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: FL PH27256) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2016-03-03 |