Organization
MIV INC
Active
Other names
M4 PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO GRECO RPH (PRESIDENT)
(570) 455-8081
Entity
Organization
Contact information
Practice address
706 MAIN ST, FREELAND, PA 18224-1915
(570) 636-0480
(570) 636-0508
Mailing address
PO BOX G, FREELAND, PA 18224-0560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP481528
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP481528
PA
3336L0003X
Long Term Care Pharmacy
PP481528
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3987382
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
03/04/2010
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