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Organization

ETHICAL FACTOR RX LLC

Active
Other names
Ethical Factor Rx
Organization subpart
No

Provider details

NPI number
Authorized official
LISA F TOMCYKOSKI PHARMD (OWNER)
(570) 606-3622
Entity
Organization

Contact information

Practice address
4213 BIRNEY AVE STE 4, AVOCA, PA 18641-9523
(570) 606-3622
(570) 371-6317
Mailing address
PO BOX 4047, SCRANTON, PA 18505-6047
(570) 606-3622
(570) 371-6317

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301009850
MI
333600000X
Pharmacy
28RO00071900
NJ
3336C0003X
Community/Retail Pharmacy
P06270
MD
3336H0001X
Home Infusion Therapy Pharmacy
PP482191
PA
3336S0011X
Specialty Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0298883
NJ
05
03629343
NY
05
102678278 0002
PA
05
1871881573
AZ
05
1871881573
MI
05
1871881573
NC
05
1871881573
OH
05
1871881573
WI
05
200595730A
OK
01
2131101
PK
05
4222598 00
MD
Enumeration date
07/14/2011
Last updated
03/05/2025
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