| NPI | 1982727038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L PARA President 570-330-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP481200) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: PA PP481200) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: PA PP481200) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP481200) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-02-18 |