Provider Demographics
NPI:1811024243
Name:JM MARCHESE DRUGS INC
Entity type:Organization
Organization Name:JM MARCHESE DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEFRANCESCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-342-6345
Mailing Address - Street 1:107 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18508-1947
Mailing Address - Country:US
Mailing Address - Phone:570-342-6345
Mailing Address - Fax:570-983-0097
Practice Address - Street 1:107 W MARKET ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-1947
Practice Address - Country:US
Practice Address - Phone:570-342-6345
Practice Address - Fax:570-983-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411358L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA239598011373OtherPACE SPECIAL BENEFITS
PA3959802OtherMEDICAL MATRIX
PA3959802OtherMILLENIUM HEALTH CARE
PA0011951670002 24Medicaid
PA3959802OtherADVANCE RX
PA3959802OtherGPP
PA039598011373OtherPACE
PA3959802OtherARGUS
PA3959802OtherAETNA
PA3959802OtherNATIONAL HEALTH ACCESS
PA3959802OtherDIVERSIFIED
PA3959802OtherEXPRESS SCRIPTS
PA3959802OtherMED IMPACT
PA3959802OtherCIGNA RX PRIME
PA3959802OtherMEDE AMERICA
PA3959802OtherBLUE CROSS OF CA
PA3959802OtherHUMANA
PA3959802OtherMEMBER HEALTH
PA139598011373OtherPACE RENAL
PA3959802OtherEXPRESS SCRIPTS