Individual
AMY KATHLEEN RUFFOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2635
Mailing address
8223 68TH AVE, KENOSHA, WI 53142-1864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14221-040
WI
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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