Organization
PANTHER CREEK PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN RUBINO (OWNER/PHARMACIST)
(570) 273-5311
Entity
Organization
Contact information
Practice address
74 W CATAWISSA ST, NESQUEHONING, PA 18240-1509
(570) 273-5311
(570) 273-5322
Mailing address
74 W CATAWISSA ST, NESQUEHONING, PA 18240-1509
(570) 273-5311
(570) 273-5322
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841793569
CMS NPPES
—
Enumeration date
12/20/2018
Last updated
12/20/2018
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