Individual
MR. DAVID PAUL RUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 MILLERVILLE RD, TARGET PHARMACY STORE NUMBER T-2089, BATON ROUGE, LA 70816-1408
(225) 275-2109
(225) 275-2109
Mailing address
2001 MILLERVILLE RD, TARGET PHARMACY STORE NUMBER T-2089, BATON ROUGE, LA 70816-1408
(225) 275-2109
(225) 275-2109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015393
LA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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