# PRIMECARE PHARMACY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326188103
- **Authorized official:** MICHAEL RUANE RPH (PHARMACIST)
- **Authorized official phone:** (570) 207-6860

## Contact information

- **Practice address:** 310 ADAMS AVE, 2ND FLOOR, SCRANTON, PA 18503-1620
- **Practice address phone:** (570) 207-6860
- **Practice address fax:** (570) 207-6368
- **Mailing address:** 310 ADAMS AVE, 2ND FLOOR, SCRANTON, PA 18503-1620
- **Mailing address phone:** (570) 207-6860
- **Mailing address fax:** (570) 207-6368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PP481068 | PA | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 05/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0018760990001 | — | PA |
