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NPI Code Detail

MEDICARE: MISS RASHIELA RUDDOCK PHARMD

MEDICARE: MISS RASHIELA RUDDOCK PHARMD
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
1183500000XPharmacistPS42951FL

General Provider Information

NPI Number : 1285910380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RASHIELA RUDDOCK PHARMD
Provider Business Mailing Address
First Line : 3907 LAUREL LN
Second Line :
City : COCONUT CREEK
State : FL
Zip : 33073-4495
Country : US
Telephone Number : 954-857-4914
Fax Number :
Provider Business Practice Location Address
First Line : 6458 LINTON BLVD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-6400
Country : US
Telephone Number : 561-638-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2011
Last Update Date : 11/02/2011

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Directions to “ MISS RASHIELA RUDDOCK PHARMD” Practice Location

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