Vine Pharmacy
NPI #1720592215 in Benton, Pennsylvania
Provider Information
- NPI Number
- 1720592215
- Entity Type
- Organization
- Organization Name
- Vine Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 20, 2017
- Last Updated
- Jul 31, 2024
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
- Title
- PHARMACIST OWNER
- Phone
- (570) 925-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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