Organization
VINE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE K MOSS RPH (PHARMACIST OWNER)
(570) 925-2500
Entity
Organization
Contact information
Practice address
4375 RED ROCK RD, BENTON, PA 17814-7948
(570) 925-2500
Mailing address
4375 RED ROCK RD, BENTON, PA 17814-7948
(570) 925-2500
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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