Individual
CAROLYN ANN RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
143 N MAIN ST, TAYLOR, PA 18517-1415
(570) 562-2626
Mailing address
1222 ORAM ST, SCRANTON, PA 18504-1523
(570) 906-4123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP037653L
PA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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