MEDICARE: CASSANDRA RUML

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	035701	LA

General Provider Information

NPI Number	:	1184582199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA RUML

Provider Business Mailing Address
First Line	:	8340 PICARDY AVE APT 1416
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3796
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14360 WAX RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-4279
Country	:	US
Telephone Number	:	225-261-6541
Fax Number	:

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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Directions to “ CASSANDRA RUML ” Practice Location

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