Individual
MRS. DONNA MARIE TIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
506 MITCHELL DR, PITTSTON, PA 18640-2801
(570) 883-1428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP039175L
PA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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