| NPI | 1801326319 |
|---|---|
| Doing Business As | FAMILY PHARMACY OF CARBONDALE INC |
| Entity Type | Organization |
| Authorized Contact | DENNIS DOUGHERTY President 570-499-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482725) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA PP482725) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: PA PP482725) | |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2017-07-11 |