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NPI Code Detail

MEDICARE: RUTU AMIN

MEDICARE: RUTU AMIN
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
1183500000XPharmacistRP459076PA

General Provider Information

NPI Number : 1568278943
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTU AMIN
Provider Business Mailing Address
First Line : 9130 MATHER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-4688
Country : US
Telephone Number : 267-575-4425
Fax Number :
Provider Business Practice Location Address
First Line : 2503 WELSH RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-3238
Country : US
Telephone Number : 215-671-0544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2024
Last Update Date : 12/10/2024

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Directions to “ RUTU AMIN ” Practice Location

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