MEDICARE: MR. MICHAEL RUBINSKY RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI02278000	NJ
2	183500000X	Pharmacist	28RJ01688	NJ

General Provider Information

NPI Number	:	1114388576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL RUBINSKY RPH

Provider Business Mailing Address
First Line	:	300 S LENOLA RD
Second Line	:
City	:	MAPLE SHADE
State	:	NJ
Zip	:	08052-3435
Country	:	US
Telephone Number	:	856-778-1049
Fax Number	:	856-778-4529

Provider Business Practice Location Address
First Line	:	300 S LENOLA RD
Second Line	:
City	:	MAPLE SHADE
State	:	NJ
Zip	:	08052-3435
Country	:	US
Telephone Number	:	856-778-1049
Fax Number	:	856-778-4529

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2016
Last Update Date	:	03/14/2016

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