# DEPIETROS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922657931
- **Authorized official:** THOMAS RYAN DEPIETRO (OWNER)
- **Authorized official phone:** (570) 209-7440

## Contact information

- **Practice address:** 617 3RD ST, DUNMORE, PA 18512-2849
- **Practice address phone:** (570) 209-7440
- **Mailing address:** 617 3RD ST, DUNMORE, PA 18512-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2019
- **Last updated:** 09/11/2019