Vine Pharmacy
NPI #1679211882 in Benton, Pennsylvania
Provider Information
- NPI Number
- 1679211882
- Entity Type
- Organization
- Organization Name
- Vine Pharmacy
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 26, 2022
- Last Updated
- May 26, 2022
Practice Location
- Address
- 4375 RED ROCK RD
- City
- Benton
- State
- Pennsylvania
- ZIP Code
- 17814-7948
- Phone
- (570) 925-2500
Authorized Official
- Name
- CHARLOTTE K MOSS, PHARMD
- Title
- OWNER
- Phone
- (570) 925-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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