Organization
LEPRI-RUANE INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN RUANE PHARM.D (OWNER PHARMACIST)
(570) 347-6575
Entity
Organization
Contact information
Practice address
2239 PITTSTON AVE, SCRANTON, PA 18505-3237
(570) 347-6575
(570) 963-7109
Mailing address
2239 PITTSTON AVE, SCRANTON, PA 18505-3237
(570) 347-6575
(570) 963-7109
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP413974L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011026960001
—
PA
01
—
3954662
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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