Individual
CHARLES CONFORTI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 E NORTHAMPTON ST, WILKES BARRE, PA 18701-3401
(570) 822-2791
Mailing address
155 E NORTHAMPTON ST, WILKES BARRE, PA 18701-3401
(570) 822-2791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP032909L
PA
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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