Healthcare Provider Details

I. General information

NPI: 1336134725
Provider Name (Legal Business Name): FINOS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 N MAIN ST
PITTSTON PA
18640-1916
US

IV. Provider business mailing address

32 N MAIN ST
PITTSTON PA
18640-1916
US

V. Phone/Fax

Practice location:
  • Phone: 570-655-1489
  • Fax: 570-883-0741
Mailing address:
  • Phone: 570-655-1489
  • Fax: 570-883-0741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPP410767L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPP410767L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP410767L
License Number StatePA

VIII. Authorized Official

Name: MR. VINCENT JOHN PECK
Title or Position: PRESIDENT
Credential: RPH
Phone: 570-655-1489