Healthcare Provider Details

I. General information

NPI: 1396632097
Provider Name (Legal Business Name): JANETTE SOHL RUCKER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11395 LANCASTER KIRKERSVILLE RD NW
BALTIMORE OH
43105-9630
US

IV. Provider business mailing address

PO BOX 221
BALTIMORE OH
43105-0221
US

V. Phone/Fax

Practice location:
  • Phone: 614-202-7094
  • Fax:
Mailing address:
  • Phone: 614-202-7094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03217968
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: