Individual
MRS. ANN ADORA KONYCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 E MAIN ST, NANTICOKE, PA 18634-1607
(570) 735-4324
(570) 735-0378
Mailing address
236 SWAMP RD, HUNLOCK CREEK, PA 18621-3643
(570) 256-3196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP028597L
PA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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