Organization
RUFFNER PHARMACY, LLC
Active
Organization
RUFFNER PHARMACY, LLC
Active
Other names
Ruffner Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TROY RUFFNER (OWNER)
(712) 527-4006
Entity
Organization
Contact information
Practice address
409 S LOCUST ST, GLENWOOD, IA 51534-1826
(712) 527-4006
(712) 527-4113
Mailing address
409 S LOCUST ST, GLENWOOD, IA 51534-1826
(712) 527-4006
(712) 527-4113
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1326
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0786509
—
IA
Enumeration date
06/11/2007
Last updated
01/08/2010
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