Individual
MR. JOHN J GREZULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
ROUTE 209 AND BOSSARDSVILLE RD., SCIOTA, PA 18354
(570) 992-6300
Mailing address
RTE 209 BOSSARDSVILLE RD, BOSSARDSVILLE RD, SCIOTA, PA 18354
(570) 992-6300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP034703L
PA
1835G0303X
Geriatric Pharmacist
Primary
RP034703L
PA
1835P1200X
Pharmacotherapy Pharmacist
RP034703L
PA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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