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NPI Code Detail

MEDICARE: RUI TRUEBLOOD

MEDICARE:   RUI  TRUEBLOOD
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
1183500000XPharmacist18537OK

General Provider Information

NPI Number : 1609470806
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUI TRUEBLOOD
Provider Business Mailing Address
First Line : 6951 SE 15TH ST
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-2748
Country : US
Telephone Number : 405-737-7886
Fax Number :
Provider Business Practice Location Address
First Line : 6951 SE 15TH ST
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-2748
Country : US
Telephone Number : 405-737-7886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2020
Last Update Date : 11/28/2020

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Directions to “ RUI TRUEBLOOD ” Practice Location

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