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NPI Code Detail

MEDICARE: MR. DAVID NEALE RUARK RPH

MEDICARE: MR. DAVID NEALE RUARK 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
11835P1200XPharmacotherapy PharmacistPH00022194WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184986812
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID NEALE RUARK RPH
Provider Business Mailing Address
First Line : 3505 SE 192ND AVE
Second Line : C/O PHARMACY
City : VANCOUVER
State : WA
Zip : 98683
Country : US
Telephone Number : 360-253-3043
Fax Number : 360-253-3031
Provider Business Practice Location Address
First Line : 3505 SE 192ND AVE
Second Line : C/O PHARMACY
City : VANCOUVER
State : WA
Zip : 98683-1436
Country : US
Telephone Number : 360-253-3043
Fax Number : 360-253-3031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2012
Last Update Date : 06/08/2012

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