Individual
MR. EDWARD MICHAEL RUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH CCP CGP
Contact information
Practice address
136 CENTRAL AVE, CLARK, NJ 07066-1142
(732) 574-9015
Mailing address
136 CENTRAL AVE, CLARK, NJ 07066-1142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
049525
NY
183500000X
Pharmacist
Primary
28RI02097400
NJ
Other
Enumeration date
09/22/2005
Last updated
07/06/2011
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