Healthcare Provider Details
I. General information
NPI: 1649767930
Provider Name (Legal Business Name): NICHOLAS JOHN RUZZI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/23/2018
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
UNIVERSITY DRIVE C DEPARTMENT OF PHARMACY
PITTSBURGH PA
15240-1001
US
IV. Provider business mailing address
UNIVERSITY DRIVE C DEPARTMENT OF PHARMACY
PITTSBURGH PA
15240-1001
US
V. Phone/Fax
- Phone: 412-360-1032
- Fax:
- Phone: 412-360-1032
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | RP451646 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP451464 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: