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NPI Code Detail

MEDICARE: DR. HALEY RUA PHARM.D.

MEDICARE: DR. HALEY RUA PHARM.D.
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
1183500000XPharmacist25168NC
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist25168NC

General Provider Information

NPI Number : 1710355912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HALEY RUA PHARM.D.
Provider Business Mailing Address
First Line : 5221 PARAMOUNT PKWY STE 210
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5490
Country : US
Telephone Number : 984-974-6518
Fax Number : 919-590-6280
Provider Business Practice Location Address
First Line : 5221 PARAMOUNT PKWY STE 210
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-5490
Country : US
Telephone Number : 984-974-6518
Fax Number : 919-590-6280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2015
Last Update Date : 06/11/2021

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Directions to “ DR. HALEY RUA PHARM.D.” Practice Location

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