Healthcare Provider Details

I. General information

NPI: 1326403353
Provider Name (Legal Business Name): CHRISTINE ANN RUH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2015
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 GRIDER ST
BUFFALO NY
14215-3021
US

IV. Provider business mailing address

202 CLEVELAND AVE
BUFFALO NY
14222-1613
US

V. Phone/Fax

Practice location:
  • Phone: 716-868-3282
  • Fax:
Mailing address:
  • Phone: 716-864-1677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number060580
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03233156
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: