Provider Demographics
NPI:1275138208
Name:ALBANESE, RUTH ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANNE
Last Name:ALBANESE
Suffix:
Gender:F
Credentials:RPH
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 74
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02651-0074
Mailing Address - Country:US
Mailing Address - Phone:617-877-2395
Mailing Address - Fax:
Practice Address - Street 1:110 RT 6A
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-3257
Practice Address - Country:US
Practice Address - Phone:508-240-2759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH19207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist