Organization
VINE PHARMACY
Active
Organization
VINE PHARMACY
Active
Other names
Vine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE K MOSS (PHARMACIST OWNER)
(570) 925-2500
Entity
Organization
Contact information
Practice address
4375 RED ROCK RD, BENTON, PA 17814-7948
(570) 925-2500
(570) 925-5771
Mailing address
4375 RED ROCK RD, BENTON, PA 17814-7948
(570) 925-2500
(570) 925-5771
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482763
PA
Other
Enumeration date
11/20/2017
Last updated
07/31/2024
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