| NPI | 1891867966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK L CELLERARI Manager 570-587-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP410982L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP410982L) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-09-11 |