Organization
KINSLEYS MARKET OF TANNERSVILLE INC
Active
Organization
KINSLEYS MARKET OF TANNERSVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
107 KINSLEY DR, BRODHEADSVILLE, PA 18322-7800
(570) 992-2670
(570) 992-2877
Mailing address
PO BOX 760, BRODHEADSVILLE, PA 18322-0760
(570) 992-2670
(570) 992-2877
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3988017
NCPDP
PA
Enumeration date
02/23/2007
Last updated
09/03/2015
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