Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vine Pharmacy

Organization Family Medicine Physician · NPI 1679211882

Vine Pharmacy is a Family Medicine Physician in Benton, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4375 Red Rock Rd
Benton, PA 17814-7948
Phone: (570) 925-2500
Fax: (570) 925-5771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1679211882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Moss — Owner · (570) 925-2500
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022
Mailing address4375 Red Rock Rd, Benton, PA 17814-7948

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