Organization
PECK GROUP INC.
Active
Other names
Tipton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES C PECK R.PH. (OWNER PHARMACIST)
(814) 684-7979
Entity
Organization
Contact information
Practice address
4384 E. PLEASANT VALLEY BLVD. STE 1, TIPTON, PA 16684
(814) 684-7979
(814) 684-7647
Mailing address
P.O. BOX 40, TIPTON, PA 16684
(814) 684-7979
(814) 684-7647
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415132L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001564340-0001
—
PA
01
—
PP415132L
STATE PHARMACY LICENSE
PA
Enumeration date
10/11/2006
Last updated
05/16/2013
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