Individual
VINCENT PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 GRANDVILLE DR, SWOYERSVILLE, PA 18704-1251
(570) 881-1074
Mailing address
70 GRANDVILLE DR, SWOYERSVILLE, PA 18704-1251
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RP448638
PA
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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