| NPI | 1326188103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUANE Pharmacist 570-207-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: PA PP481068) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-05-02 |