Healthcare Provider Details

I. General information

NPI: 1700235165
Provider Name (Legal Business Name): ERIN RUFF PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 10/20/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CONNECTICUT BLVD
EAST HARTFORD CT
06108
US

IV. Provider business mailing address

59 LAMBERTON RD
WINDSOR CT
06095-2127
US

V. Phone/Fax

Practice location:
  • Phone: 860-528-1359
  • Fax:
Mailing address:
  • Phone: 860-716-9374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10083
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: