MEDICARE: FINOS PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	PP410767L	PA
2	183500000X	Pharmacist	PP410767L	PA
3	3336C0003X	Community/Retail Pharmacy	PP410767L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3906281	OTHER		NABP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336134725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINOS PHARMACY LLC

Provider Business Mailing Address
First Line	:	32 N MAIN ST
Second Line	:
City	:	PITTSTON
State	:	PA
Zip	:	18640-1916
Country	:	US
Telephone Number	:	570-655-1489
Fax Number	:	570-883-0741

Provider Business Practice Location Address
First Line	:	32 N MAIN ST
Second Line	:
City	:	PITTSTON
State	:	PA
Zip	:	18640-1916
Country	:	US
Telephone Number	:	570-655-1489
Fax Number	:	570-883-0741

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VINCENT JOHN PECK
Credential	:	RPH
Telephone Number	:	570-655-1489

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	08/16/2010

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Directions to “FINOS PHARMACY LLC ” Practice Location

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