Organization
ROANS PRESCRIPTION DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M ROAN RPH. (OWNER)
(570) 779-9503
Entity
Organization
Contact information
Practice address
159 E MAIN ST, PLYMOUTH, PA 18651-3018
(570) 779-9503
(570) 779-4889
Mailing address
159 E MAIN ST, PLYMOUTH, PA 18651-3018
(570) 779-9503
(570) 779-4889
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412097L
PA
Other
Enumeration date
02/01/2007
Last updated
07/21/2015
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