Provider Demographics
NPI:1003241795
Name:RUGGEAR, COLLEEN BRIDGET (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:BRIDGET
Last Name:RUGGEAR
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2212
Mailing Address - Country:US
Mailing Address - Phone:215-716-7014
Mailing Address - Fax:
Practice Address - Street 1:4275 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2212
Practice Address - Country:US
Practice Address - Phone:215-716-7014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03583900183500000X
PARP448290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist