Provider Demographics
NPI:1063632701
Name:RUCH, PAMELA K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:K
Last Name:RUCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 408
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:WA
Mailing Address - Zip Code:99005-0408
Mailing Address - Country:US
Mailing Address - Phone:509-238-4480
Mailing Address - Fax:
Practice Address - Street 1:7619 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5613
Practice Address - Country:US
Practice Address - Phone:509-466-3315
Practice Address - Fax:509-468-9101
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000515271835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy