Provider Demographics
NPI:1518273689
Name:RUANE, MARILYN CASEY
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:CASEY
Last Name:RUANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2239 PITTSTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-3237
Mailing Address - Country:US
Mailing Address - Phone:570-347-6575
Mailing Address - Fax:570-963-7109
Practice Address - Street 1:2239 PITTSTON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-3237
Practice Address - Country:US
Practice Address - Phone:570-347-6575
Practice Address - Fax:570-963-7109
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist