Individual
GAETANO FASCIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 WYOMING AVE, WEST PITTSTON, PA 18643-2770
(570) 654-6689
Mailing address
801 WYOMING AVE, WEST PITTSTON, PA 18643-2770
(570) 654-6689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RR445659
PA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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