Healthcare Provider Details

I. General information

NPI: 1659281095
Provider Name (Legal Business Name): RYAN COLE MCLAY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HUNTER HWY
TUNKHANNOCK PA
18657-8018
US

IV. Provider business mailing address

297 BARTRON RD
TUNKHANNOCK PA
18657-1476
US

V. Phone/Fax

Practice location:
  • Phone: 570-836-0110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460623
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: