Provider First Line Business Practice Location Address:
69 NORTH MARKET ST.
Provider Second Line Business Practice Location Address:
MEDICINE SHOPPE
Provider Business Practice Location Address City Name:
NANTICOKE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-735-2300
Provider Business Practice Location Address Fax Number:
570-258-2036
Provider Enumeration Date:
10/26/2016