Healthcare Provider Details

I. General information

NPI: 1982461448
Provider Name (Legal Business Name): JOSHUA COLE RUWE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 HIGHLAND AVE
LEWISTOWN PA
17044-1167
US

IV. Provider business mailing address

6170 GRANT CT
HARRISBURG PA
17112-8550
US

V. Phone/Fax

Practice location:
  • Phone: 817-449-0511
  • Fax:
Mailing address:
  • Phone: 817-449-0511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP458339
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: