DR. Mary Grace Tambasco
NPI #1154868453 in Hazleton, Pennsylvania
Provider Information
- NPI Number
- 1154868453
- Entity Type
- Individual
- Name
- DR. Mary Grace Tambasco
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 24, 2017
- Last Updated
- Jan 24, 2017
Practice Location
- Address
- 257 N WYOMING ST
- City
- Hazleton
- State
- Pennsylvania
- ZIP Code
- 18201-5563
- Phone
- (570) 454-2951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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