Individual
AMY NICOLE MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
RT 611 TANNERSVILLE PLAZA, TANNERSVILLE, PA 18372
(570) 619-5413
(570) 619-5462
Mailing address
15 CLUB CT, STROUDSBURG, PA 18360-1514
(570) 856-1444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP446768
PA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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