Provider Information for 1245302033
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LEPRI-RUANE INC
Other Names:Doing Business As:MEDICINE SHOPPEOrganization Subpart: NO
NPI: 1245302033
Last Updated: 2023-03-07
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1245302033 | ||||||||||||
Enumeration Date | 2006-11-15 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: Dr. MARILYN RUANE Pharm.D Title: Owner Pharmacist Phone: 5703476575 | ||||||||||||
Mailing Address | 2239 PITTSTON AVE SCRANTON, PA 18505-3237 United States Phone: 570-347-6575 | Fax:570-963-7109 | ||||||||||||
Primary Practice Address | 2239 PITTSTON AVE SCRANTON, PA 18505-3237 United States Phone: 570-347-6575 | Fax:570-963-7109 | ||||||||||||
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