Provider Demographics
NPI:1194421222
Name:THE PRESCRIPTION CENTER INC
Entity type:Organization
Organization Name:THE PRESCRIPTION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUANE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:570-209-9900
Mailing Address - Street 1:329 CHERRY ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-1505
Mailing Address - Country:US
Mailing Address - Phone:570-209-9900
Mailing Address - Fax:
Practice Address - Street 1:310 ADAMS AVE
Practice Address - Street 2:1ST FL
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503
Practice Address - Country:US
Practice Address - Phone:570-343-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE PRESCRIPTION CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011511900002Medicaid