Individual
DOUGLAS DECANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
330 N MAIN ST STE 202, MOSCOW, PA 18444-9003
(570) 843-6369
Mailing address
330 N MAIN ST STE 202, MOSCOW, PA 18444-9003
(570) 843-6369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP034651L
PA
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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