NPI 1205129178 · live from the CMS NPI Registry
Amalie Group LLC
Pharmacy, Compounding Pharmacy in Tunkhannock, PA. National Provider Identifier 1205129178, active.
NPI record
| NPI | 1205129178 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Compounding Pharmacy 3336C0004X |
| Practice location | 230 W Tioga St, Suite 3, Tunkhannock, PA 18657 |
| Practice phone | 570-996-0440 |
| Enumerated | May 25, 2011 |
| Last updated | March 7, 2023 |
| Authorized official | Peter Konicki, President |
| Other names | Tunkhannock Compounding Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy primary | 3336C0004X | PP482108 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.