Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAETANO FASCIANA (PHARMACIST)
(570) 654-6689
Entity
Organization
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
3336C0003X
Community/Retail Pharmacy
Primary
RP445659
PA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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