Individual
DR. NATHAN RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
465 GOODMAN RD E, SOUTHAVEN, MS 38671-9525
(662) 349-3740
Mailing address
465 GOODMAN RD E, SOUTHAVEN, MS 38671-9525
(662) 349-3740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
36146
TN
183500000X
Pharmacist
Primary
E-11822
MS
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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