Healthcare Provider Details

I. General information

NPI: 1235235045
Provider Name (Legal Business Name): THE PRESCRIPTION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 ADAMS AVE
SCRANTON PA
18503-1620
US

IV. Provider business mailing address

310 ADAMS AVE
SCRANTON PA
18503-1620
US

V. Phone/Fax

Practice location:
  • Phone: 570-343-2448
  • Fax: 570-207-6368
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP413328L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier3957377
Identifier TypeOTHER
Identifier State
Identifier IssuerOTHER ID NUMBER-COMMERCIAL NUMBER
# 2
Identifier0011511900002
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MICHAEL RUANE
Title or Position: PHARMACIST
Credential:
Phone: 570-343-2448