Organization
PRIMECARE PHARMACY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUANE RPH (PHARMACIST)
(570) 207-6860
Entity
Organization
Contact information
Practice address
310 ADAMS AVE, 2ND FLOOR, SCRANTON, PA 18503-1620
(570) 207-6860
(570) 207-6368
Mailing address
310 ADAMS AVE, 2ND FLOOR, SCRANTON, PA 18503-1620
(570) 207-6860
(570) 207-6368
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP481068
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018760990001
—
PA
Enumeration date
02/08/2007
Last updated
05/02/2018
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