Individual
EDMUND RURUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
560 PASSAIC AVE, WEST CALDWELL, NJ 07006-7449
(973) 575-0003
Mailing address
23 WARREN ST APT 1A, NUTLEY, NJ 07110-2335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03506400
NJ
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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