| Vine Pharmacy | |
|
4375 Red Rock Rd Benton PA 17814-7948 | |
| (570) 925-2500 | |
| (570) 925-5771 |
| Full Name | Vine Pharmacy |
|---|---|
| Speciality | Family Medicine |
| Location | 4375 Red Rock Rd, Benton, Pennsylvania |
| Authorized Official Name and Position | Charlotte K Moss (OWNER) |
| Authorized Official Contact | 5709252500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Pharmacy 4375 Red Rock Rd Benton PA 17814-7948 Ph: (570) 925-2500 | Vine Pharmacy 4375 Red Rock Rd Benton PA 17814-7948 Ph: (570) 925-2500 |
| NPI Number | 1679211882 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 05/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679211882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Bps Benton Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4469 Red Rock Rd, Benton, PA 17814 Phone: 570-925-6424 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4469 Red Rock Rd, Benton, PA 17814 Phone: 570-925-6424 Fax: 570-925-5852 | |
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