Michael Ruddy, PHARMACIST

NPI #1467952762 in Kayenta, Arizona

Provider Information

NPI Number: 1467952762
Entity Type: Individual
Name: Michael Ruddy, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Feb 14, 2018
Last Updated: Feb 14, 2018

Practice Location

Address: HWY 160 1/2 MILE SOUTH OF MILE POST 394.3
City: Kayenta
State: Arizona
ZIP Code: 86033
Phone: (928) 697-4165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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