Healthcare Provider Details

I. General information

NPI: 1598219354
Provider Name (Legal Business Name): CHRISTINA EMILY RUGGIA-CHECK RPH, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 08/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N BROAD ST TEMPLE UNIVERSITY HOSPITAL
PHILADELPHIA PA
19140-5103
US

IV. Provider business mailing address

330 TAVISTOCK DR
MEDFORD NJ
08055-9243
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-3464
  • Fax:
Mailing address:
  • Phone: 609-714-7470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP038445L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: