Individual
BRAD DAVID RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
27615 US HIGHWAY 27, LEESBURG, FL 34748-9396
(352) 787-2122
(352) 787-3306
Mailing address
27615 US HIGHWAY 27, LEESBURG, FL 34748
(352) 787-2122
(352) 787-3306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS36964
FL
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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