Organization
AMALIE GROUP LLC
Active
Other names
Tunkhannock Compounding Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER X KONICKI RPH (PRESIDENT)
(570) 996-0440
Entity
Organization
Contact information
Practice address
230 W TIOGA ST, SUITE 3, TUNKHANNOCK, PA 18657-6667
(570) 996-0440
(570) 996-0217
Mailing address
230 W TIOGA ST, SUITE 3, TUNKHANNOCK, PA 18657-6667
(570) 996-0440
(570) 996-0217
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PP482108
PA
Other
Enumeration date
05/25/2011
Last updated
03/07/2023
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