JOHN D KEEGAN
475 S Poplar St
Hazleton, PA 18201
570-454-8748
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | PA | PP410030L |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0008817820001 | PA | MEDICAID |