Organization
COMPLETE PHARMACY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO CORRADINO (MANGER)
(570) 281-1083
Entity
Organization
Contact information
Practice address
141 SALEM AVE, CARBONDALE, PA 18407-2574
(570) 281-1083
(570) 281-1244
Mailing address
141 SALEM AVE, CARBONDALE, PA 18407-2574
(570) 281-1083
(570) 281-1244
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP-414190-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011636820001
—
PA
Enumeration date
10/20/2005
Last updated
08/22/2020
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