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Organization
MOSES TAYLOR APOTHECARY
Active
Organization
MOSES TAYLOR APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ANN RICCARDO RPH (MANAGER)
(570) 340-3135
Entity
Organization
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 340-3135
(570) 340-2770
Mailing address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 340-3135
(570) 340-2770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP415406L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007771410001
—
PA
Enumeration date
11/09/2006
Last updated
08/22/2020
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