Individual
MATTHEW RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 N FLORISSANT RD, FERGUSON, MO 63135-1942
(314) 521-4518
Mailing address
190 N FLORISSANT RD, FERGUSON, MO 63135-1942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016034607
MO
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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