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 |